A nurse is caring for a newborn who has early-onset VKDB due to maternal use of anticoagulants during pregnancy.

Which of the following interventions should the nurse anticipate for this newborn?

Administer fresh frozen plasma

Administer packed red blood cells

Administer intravenous immunoglobulin

Administer recombinant erythropoietin

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Administer fresh frozen plasma. This is because fresh frozen plasma contains clotting factors that can help stop the bleeding caused by vitamin K deficiency. Vitamin K is needed for the synthesis of clotting factors in the liver, but newborns have low levels of vitamin K and may develop vitamin K deficiency bleeding (VKDB) if they do not receive prophylaxis at birth. VKDB can manifest as bleeding in various sites, such as the skin, mucous membranes, umbilicus, gastrointestinal tract, or central nervous system.

Choice B is wrong because packed red blood cells do not contain clotting factors and will not correct the underlying deficiency of vitamin K.

Choice C is wrong because intravenous immunoglobulin is used to treat immune-mediated thrombocytopenia, not vitamin K deficiency.

Choice D is wrong because recombinant erythropoietin is used to stimulate red blood cell production in anemia, not to treat bleeding disorders.

Early-onset VKDB occurs within 24 hours of birth and is associated with maternal use of drugs that interfere with vitamin K metabolism, such as anticoagulants, anticonvulsants, or antituberculosis drugs .

These drugs induce the enzymes that break down vitamin K in the fetal liver

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Correct Answer is A

Explanation

The correct answer is choice A.Washing hands before and after handling the cord stump can prevent the transmission of bacteria that can cause omphalitis, sepsis, and tetanus.

Choice B is wrong because applying petroleum jelly or ointment to the cord stump can delay its drying and increase the risk of infection.

Choice C is wrong because using hydrogen peroxide to clean the cord stump can damage the healthy tissue and delay healing.

Choice D is wrong because folding down the diaper below the cord stump can expose it to urine and feces, which can contaminate it and cause infection.

The normal range for umbilical cord separation is 5 to 15 days after birth.

A. Irregular respirations B. Cyanosis C. Apnea D. Eye-rolling E. Lethargy

Correct Answer is ["A","C","D","E"]

Explanation

The correct answer is choice A, C, D, and E.Hypoglycemia due to perinatal asphyxia can cause various neurological signs in the newborn, such as irregular respirations, apnea, eye-rolling, and lethargy.

These signs indicate inadequate oxygenation and glucose delivery to the brain.Cyanosis is not a specific sign of hypoglycemia, but rather a sign of poor oxygenation that can occur due to other causes.

Therefore, choice B is wrong.

Choice A is correct because irregular respirations can result from hypoglycemia due to perinatal asphyxia.Hypoglycemia can impair the respiratory center in the brainstem and cause irregular breathing patterns.

Choice C is correct because apnea can result from hypoglycemia due to perinatal asphyxia.

Apnea is defined as a pause in breathing

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A nurse is caring for a newborn who has early-onset VKDB due to maternal use of anticoagulants during pregnancy. Which of the following interventions should the nurse anticipate for this newborn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a new mother about umbilical cord care and how to prevent omphalitis, sepsis, and tetanus. Which of the following statements by the mother indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is assessing a newborn who has hypoglycemia due to perinatal asphyxia. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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A nurse is caring for a newborn who has early-onset VKDB due to maternal use of anticoagulants during pregnancy.

Which of the following interventions should the nurse anticipate for this newborn?