A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles?

Ventrogluteal

Vastus lateralis

Dorso-gluteal

Deltoid

Answer and Explanation

The Correct Answer is B

A.   The ventrogluteal site can be used for IM injections in older infants but is not typically used in newborns.
B.   The vastus lateralis muscle is the preferred site for IM injections in newborns due to its size and accessibility.
C.   The dorso-gluteal site is not recommended for IM injections in infants due to the risk of injury to the sciatic nerve.
D.   The deltoid muscle is not typically used for IM injections in newborns due to its small size and less developed musculature.

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Correct Answer is A

Explanation

The correct answer is A.

Rationale for A: Drying the skin is crucial to prevent hypothermia, as newborns can quickly lose body heat. This action also stimulates the newborn and promotes circulation.

Rationale for B: Administering eye prophylaxis is important to prevent gonococcal ophthalmia, but it can be done after ensuring the newborn is warm and stable.

Rationale for C: Placing an identification bracelet is necessary for safety, but it is not as immediate a concern as ensuring the newborn's temperature is regulated.

Rationale for D: Administering vitamin K is important for preventing hemorrhagic disease in newborns, but it can be performed after addressing the newborn's immediate needs, such as warmth.

A. Encourage the client to move to the left lateral position. B. Assist the client to the bathroom to void. C. Ask the client to rate her pain. D. Encourage the client to perform Kegel exercises.

Correct Answer is A

Explanation

A. Encouraging the client to move to the left lateral position helps to promote uterine
contractions and reposition the uterus to its midline position, which can help to alleviate uterine atony.
B. Assisting the client to the bathroom to void may be appropriate to relieve bladder distention, but it does not directly address the issue of uterine atony.
C. Asking the client to rate her pain is not relevant to the assessment findings of a slightly boggy and displaced fundus.
D. Encouraging the client to perform Kegel exercises is not indicated for the management of uterine atony.

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A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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