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 C

Explanation

A. Absent plantar reflexes may indicate neurological issues but are not specifically associated with developmental dysplasia of the hip (DDH).
B. Lengthened thigh on the affected side is not a typical finding in DDH. Instead, there may be apparent shortening due to hip dislocation.
C. Asymmetric thigh folds are a common finding in DDH due to hip instability, causing the femoral head to be displaced from the acetabulum and resulting in uneven thigh folds.

D. An inwardly turned foot on the affected side may be seen in conditions like clubfoot but is not a characteristic finding in DDH.

A. "My baby's temperature will be checked rectally every hour." B. "I should keep my baby's head covered." C. "My baby's bassinet should be kept away from fans and air conditioning." D. "I should place my baby on my stomach and cover her with a warm blanket."

Correct Answer is A

Explanation

A. Checking the baby's temperature rectally every hour is unnecessary and may cause discomfort and potential harm to the baby. Temperature checks should be done as per healthcare provider's
recommendation.

B. Keeping the baby's head covered helps regulate their body temperature and prevents heat loss, especially in newborns who are more prone to heat loss from their heads.

C. Keeping the baby's bassinet away from fans and air conditioning helps maintain a stable and comfortable temperature for the newborn, preventing overheating or chilling.

D. Placing the baby on the stomach (prone position) is not recommended for sleep due to the increased risk of sudden infant death syndrome (SIDS). Infants should be placed on their back to sleep.

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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

A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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Correct Answer is A

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