A client delivers a term neonate and expresses concern about the reason for giving the neonate a Vitamin K injection. Which information from the nurse is accurate?

Neonates will hemorrhage without vitamin K.

Breastfeeding is an excellent source of vitamin K.

Vitamin K is needed to activate clotting factors.

Mothers are unable to supply vitamin K to the fetus.

Answer and Explanation

The Correct Answer is C

A. While neonates are at higher risk for bleeding due to low vitamin K levels, the statement "neonates will hemorrhage without vitamin K" is too broad and not entirely accurate.
B. Breast milk is a poor source of vitamin K, which is why the injection is necessary.
C. Vitamin K is essential for the activation of clotting factors in the liver. Newborns are born with low levels of vitamin K, which is why they receive an injection to prevent bleeding.
D. Mothers do provide some vitamin K to the fetus through the placenta, but this is insufficient for the newborn after birth, necessitating the injection.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Meconium aspiration syndrome (MAS) occurs when a newborn inhales meconium-stained amniotic fluid during or after delivery, leading to respiratory distress. This newborn has several findings consistent with MAS:

Dark brown-greenish amniotic fluid during labor indicates meconium-stained fluid.

Fine crackles throughout lung fields and expiratory grunting suggest impaired gas exchange and possible airway obstruction.

Rapid and shallow respirations (80/min) and the presence of green-stained vernix and fingernails further support this diagnosis.

Jaundice, hypoglycemia, and cold stress are also potential complications in newborns but are not the most immediate threats based on this newborn's clinical presentation.

A. "Baby powder will help prevent a diaper rash." B. "I will use mild soap." C. "I will test the water on my wrist for temperature before bathing." D. "I will use a basin during bathing."

Correct Answer is A

Explanation

A. Baby powder should be avoided as it can be inhaled by the newborn, leading to respiratory issues.

B. Using mild soap is an appropriate practice for newborn care to avoid skin irritation.

C. Testing the water on the wrist of the caregiver’s hand before bathing minimizes the risk of burns,

D. Using a basin during bathing is an appropriate practice for newborn care.

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A client delivers a term neonate and expresses concern about the reason for giving the neonate a Vitamin K injection. Which information from the nurse is accurate?

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Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

A mother is concerned about her 3-day-old breastfeeding newborn whose birth weight was 2678g and is now 2505g. What is the most appropriate response by the nurse?

A preterm infant exhibits symptoms including grunting, nasal flaring, and tachypnea. The nurse anticipates the newborn will need which treatment(s)?

A nurse is assessing a newborn who was born at 42.5 weeks of gestation. Which of the following findings should the nurse expect?

The nurse is caring for a 26-week-gestation infant diagnosed with periventricular hemorrhage and currently intubated. What is the most appropriate nursing action(s) for this infant?

A client delivers a term neonate and expresses concern about the reason for giving the neonate a Vitamin K injection. Which information from the nurse is accurate?

The nurse is assessing a 4-hour old newborn. The nurse's findings include an irregular respiratory rate at 58, heart rate of 138 with a regular rhythm, and axillary temperature of 97.4 °F. Based on these assessments which intervention(s) should the nurse perform first?

A nurse is caring for a newborn delivered by vaginal birth. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling does not cross the suture line, which of the following is an appropriate response by the nurse?

The nurse notes that a newborn, who is 5 minutes old, exhibits the following characteristics: pink body with blue hands and feet, heart rate 108 bpm. respiratory rate 36 per minute, some flexion, and a vigorous cry with stimulation. What does the nurse determine the baby's APGAR score to be?