A nurse reinforcing teaching about vitamin K with a client who is postpartum. Which of the following statements should the nurse include?

Vitamin K decreases the newborn's risk of jaundice.

Vitamin K decreases the newborn's risk of health care-associated infections.

Vitamin K decreases the newborn's risk of hemorrhagic disorders.

Vitamin K decreases the newborn's risk of complications from the Hepatitis B vaccine.

Answer and Explanation

The Correct Answer is C

Choice A rationale :

Vitamin K decreases the newborn's risk of jaundice. Rationale: This statement is incorrect. Vitamin K plays no direct role in reducing the risk of jaundice in newborns. Jaundice is primarily caused by the accumulation of bilirubin in the blood, which is a different issue than hemorrhagic disorders.

Choice B rationale

Vitamin K decreases the newborn's risk of healthcare-associated infections. Rationale: This statement is incorrect. Vitamin K is not related to reducing the risk of healthcare-associated infections. Its main function is related to blood clotting and preventing hemorrhagic disorders.

Choice C rationale

Vitamin K decreases the newborn's risk of hemorrhagic disorders. Rationale: This statement is correct. Vitamin K is essential for the production of clotting factors in the blood, which helps prevent bleeding or hemorrhagic disorders in newborns. Newborns are born with low levels of vitamin K, so administering a vitamin K injection at birth is a common practice to prevent potential bleeding issues.

Choice D rationale

Vitamin K decreases the newborn's risk of complications from the Hepatitis B vaccine. Rationale: This statement is incorrect. Vitamin K is not directly related to reducing the risk of complications from the Hepatitis B vaccine. The vaccine is designed to protect against Hepatitis B infection, and vitamin K is not involved in its efficacy or safety.

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Correct Answer is ["6"]

Explanation

The Apgar s core is a s coring s ys tem doctors and nurs es us e to as s es s newborns after they’re born. The Apgar s coring s ys tem is divided into five categories : Activity, Puls e, Grimace, Appearance, and Res piration. Each category receives a s core of 0 to 2 points 1.

Bas ed on the information you provided, the newborn’s 1-min Apgar s core would be calculated as follows :

• Activity: s ome flexion of extremities = 1 point

• Puls e: heart rate 110/ min = 2 points

• Grimace: grimace in res pons e to s uctioning of the nares = 1 point

• Appearance: body pink in color with blue extremities = 1 point

• Res piration: s low, weak cry = 1 point

Adding up the points for each category, the newborn’s 1-min Apgar s core would be 6.

A. Vaginal hematoma. B. Hypoglycemia. C. Chorioamnionitis. D. Uterine hemorrhage. E. Dehiscence.

Correct Answer is D

Explanation

Choice A rationale:

Vaginal hematoma is not the most significant risk in the 4th stage of labor. While vaginal hematomas can occur due to trauma during delivery, they are less common and usually manageable compared to other complications.

Choice B rationale:

Hypoglycemia is not a typical complication in the 4th stage of labor. This stage refers to the immediate postpartum period, during which the mother's blood sugar levels may decrease slightly, but it is not the greatest concern at this stage.

Choice C rationale:

Chorioamnionitis is an infection of the fetal membranes and amniotic fluid. While it can be a concern during labor, the question specifically refers to the 4th stage, which occurs after the delivery of the placenta. Chorioamnionitis is more relevant to earlier stages of labor.

Choice D rationale:

Uterine hemorrhage is the greatest risk during the 4th stage of labor. This stage, also known as the "placental stage,”. is when the uterus contracts to expel the placenta. If the uterus fails to contract adequately, it can lead to significant bleeding, known as postpartum hemorrhage. This is a critical concern that requires immediate attention to prevent complications.

Choice E rationale:

Dehiscence, which refers to the reopening of a surgical wound, is not a common complication during the 4th stage of labor. The 4th stage primarily focuses on uterine contraction and placental delivery, making dehiscence less relevant in this context.

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A nurse reinforcing teaching about vitamin K with a client who is postpartum. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["6"]

Explanation

When contributing to the plan of care for the 4th stage of labor, the nurse should recognize the client is at the greatest risk of developing which of the following complications?

Correct Answer is D

Explanation

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