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Showing 16 questions, Sign in for moreA nurse is assessing a newborn’s vital signs at 1 hour of age.
Which of the following findings should the nurse report to the provider?
A nurse is preparing to administer hepatitis B vaccine to a newborn whose mother is hepatitis B surface antigen negative (HBsAg-).
Which of the following actions should the nurse take?
A nurse is performing an initial assessment of a newborn who was delivered vaginally at term with no complications.
Which of the following findings should alert the nurse to a potential problem?
A nurse is caring for a newborn who has received erythromycin eye ointment as prophylaxis for ophthalmia neonatorum.
What should the nurse monitor for as a potential adverse reaction to this medication?
A nurse is administering erythromycin eye ointment to a newborn who has a history of allergic reaction to penicillin.
What should the nurse do before applying the ointment?
A nurse is reviewing laboratory results for a newborn who received vitamin K injection at birth.
Which of the following coagulation factors should be activated by vitamin K?
A nurse is caring for a newborn who has early-onset VKDB due to maternal use of anticoagulants during pregnancy.
Which of the following interventions should the nurse anticipate for this newborn?
A nurse is assessing a newborn who has late-onset VKDB due to exclusive breastfeeding and inadequate oral vitamin K supplementation.
Which of the following findings should indicate a possible intracranial hemorrhage to the nurse?
A nurse is assessing a newborn who has hypoglycemia due to perinatal asphyxia.
Which of the following findings should the nurse expect? (Select all that apply.)
A nurse is caring for a preterm newborn who has hypoglycemia due to inadequate gluconeogenesis.
The nurse should understand that this condition occurs because preterm newborns have limited stores of which of the following substances?
A nurse is educating a group of college students about hepatitis B virus (HBV) transmission and prevention.
The nurse should emphasize that the most common modes of transmission are which of the following? (Select all that apply)
A nurse is caring for a client who has chronic hepatitis B infection and is taking lamivudine (Epivir).
The nurse should monitor the client for which of the following adverse effects?
A nurse is educating a new mother about umbilical cord care and how to prevent omphalitis, sepsis, and tetanus.
Which of the following statements by the mother indicates an understanding of the teaching?
A postpartum nurse instructs a new mother in how to bathe her newborn.
Which statement by the mother indicates a need for further instruction?
The nurse is caring for a newborn who was circumcised using a Gomco clamp 12 hours ago and notes that there is a small amount of blood on his diaper where his penis rests against it.
The most appropriate nursing action would be to:
The nurse is teaching parents how to care for their son’s circumcision site after discharge from hospital using petroleum jelly and gauze dressing method.
Which statement by parents indicates that they need further instruction?
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