A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?
The hepatitis B vaccine is monthly until the newborn tests negative for the hepatitis B surface antigen
Hepatitis B immune globulin and the hepatitis B vaccine within 12 hours of birth
Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months
The hepatitis B vaccine at 24 hours followed by hepatitis B immune globulin every 12 hours for 3 days
The Correct Answer is B
Choice A rationale:
Administering the hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen is not the appropriate treatment for a newborn whose mother is positive for the hepatitis B surface antigen. Immediate intervention is required to prevent transmission.
Choice B rationale:
The newborn of a mother who is positive for the hepatitis B surface antigen should receive hepatitis B immune globulin (HBIG) and the hepatitis B vaccine within 12 hours of birth. HBIG provides passive immunity to the baby while the vaccine stimulates active immunity.
Choice C rationale:
Administering hepatitis B immune globulin for 1 week followed by the hepatitis B vaccine monthly for 6 months is not the correct treatment plan. Immediate intervention is necessary to prevent transmission to the newborn.
Choice D rationale:
Administering the hepatitis B vaccine at 24 hours followed by hepatitis B immune globulin every 12 hours for 3 days is not the appropriate treatment. Hepatitis B immune globulin should be given within 12 hours of birth, not over several days.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Stopping breastfeeding is not recommended for breast engorgement. Breastfeeding frequently and effectively is one of the best ways to relieve engorgement and prevent further complications.
Choice B rationale: Feeding the baby every 2 hours is a frequent feeding schedule, which can help manage breast engorgement. However, this statement does not specifically address the use of cold compresses for relief.
Choice C rationale: Wearing a supportive bra during the daytime can help provide comfort and support for engorged breasts. However, this statement does not specifically address the use of cold compresses for relief.
Choice D rationale: Applying cold compresses to the breasts before each feeding can help reduce breast engorgement and discomfort. Cold compresses can help constrict the blood vessels and reduce swelling, making it easier for the baby to latch on and feed effectively.
Correct Answer is C
Explanation
Choice A rationale: A breech presentation means that the baby's buttocks or feet are the presenting part, not the shoulder.
Choice B rationale: Vertex presentation refers to a head-down position of the baby with the occiput (back of the head) as the presenting part. In the RSA position, the baby is in vertex presentation, but the specific part facing the mother's right side is the shoulder.
Choice C rationale: RSA (Right Sacrum Anterior) indicates that the fetus is in a vertex presentation with the head pointing down and the back of the baby's head (occiput) facing the mother's right side. The shoulder is the presenting part of this position.
Choice D rationale; Mentum refers to the chin of the baby. A mentum presentation (also called face presentation) means that the baby's face is the presenting part, not the shoulder.
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