Chapter 54: Neonatal and Newborn Book Questions

A patient asks the nurse why her baby is receiving a vitamin K injection. The nurse's best response is based on what knowledge?

a. Vitamin K is important because it increases the newborn's platelets.

b. A newborn baby's metabolism is too immature to produce vitamin K.

c. A newborn lacks appropriate intestinal flora to synthesize vitamin K.

d. Vitamin K isn't produced in bone marrow until an infant is 8 days old.

C

It is mandatory to have maternal signed consent before administering which newborn drug?

a. Erythromycin eye ointment

b. Phytonadione (Vitamin K1)

c. Hepatitis B vaccine series

d. Betamethasone injection

C

The nurse is mentoring a new graduate who is preparing to administer the phytonadione injection to a newborn. Which muscle sites selected by the new graduate would indicate the need for further teaching? (Select all that apply.)

a. Anterolateral thigh

b. Gluteus maximus

c. Rectus femoris

d. Vastus lateralis

e. Vastus medialis

B, C, E

The nurse is preparing to administer an ophthalmic drug to a newborn. Education for the parents includes which fact about the drug?

a. All infants born preterm receive an ophthalmic drug to protect their eyes.

b. Eye ointments are given in the lower bottom of the eye from the inner to the outer eye.

c. This drug will prevent congenital ophthalmic diseases and must be given.

d. Infants with a negative direct Coombs test receive this drug to protect vision.

B

A newborn is admitted to the nursery, and the nurse reviews the maternal history. It is important that the nurse assess the mother's status specific to which infectious process(es)? (Select all that apply.)

a. Rubeola (Measles)

b. Hepatitis A

c. Hepatitis B

d. HIV/AIDS

e. Group B Streptococcus

C, D, E

A neonate whose mother is positive for the hepatitis B surface antigen (HBsAg) is admitted to the nursery. Which immunizations are appropriate for this neonate? (Select all that apply.)

a. Hepatitis B immune globulin (HBIG)

b. Recombinant hepatitis B (HB)

c. Haemophilus influenzae type B

d. Hepatitis A vaccine

e. Cobalamin (Vitamin B12)

A, B, E