A nurse is preparing to administer phytonadione to a newborn. Which of the following actions should the nurse take?

Administer the medication into the deltoid muscle.

Administer the medication 12 hr after birth.

Administer the medication with a 25-gauge needle.

Check the mother's Rh factor prior to administration.

Answer and Explanation

The Correct Answer is C

A)   Incorrect- Administering medication into the deltoid muscle is not typically done in newborns. Phytonadione is given intramuscularly, usually in the vastus lateralis muscle, not the deltoid muscle.
B)   Incorrect- Phytonadione should be given within 1 hour of birth, not 12 hours after birth. Delaying the administration increases the risk of bleeding complications.
C)   Correct- The size of the needle is important for the newborn's comfort, A 25-gauge needle is the appropriate size for administering phytonadione to a newborn. A smaller needle may not deliver the medication adequately, and a larger needle may cause more tissue damage and bleeding.
D)   Incorrect- The mother's Rh factor is irrelevant for the administration of phytonadione.

Rh factor affects the risk of hemolytic disease in the newborn, which is a different condition from hemorrhagic disease.

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Correct Answer is A

Explanation

A) Correct- Intrauterine devices (IUDs) have one of the lowest failure rates among contraceptive methods. They are highly effective at preventing pregnancy.
B) Incorrect- Diaphragms have a higher failure rate compared to IUDs.
C) Incorrect- Oral contraceptives have a failure rate slightly higher than IUDs due to the potential for missed doses.
D) Incorrect- Contraceptive sponges have a higher failure rate compared to IUDs.

A. Encourage the client to perform Kegel exercises. B. Administer ibuprofen to the client. C. Apply a cool compress to the client's abdomen. D. Place the client in a side-lying position.

Correct Answer is B

Explanation

A) Incorrect- Kegel exercises are helpful for strengthening pelvic floor muscles but may not directly alleviate afterpains.
B) Correct - Afterpains are uterine contractions that occur after childbirth and can be uncomfortable, especially during breastfeeding. Ibuprofen is often used to relieve this discomfort.
C) Incorrect- Applying a cool compress might provide some relief, but pain relief medications like ibuprofen are more effective for afterpains.
D) Incorrect- While a side-lying position can be comfortable for breastfeeding, it may not directly address the afterpains.

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A nurse is preparing to administer phytonadione to a newborn. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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