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A normal newborn is admitted to the nursery and receives an injection of phytonadione. The father is watching the nurse administer the injection and asks the practical nurse (PN), "Will my baby get another injection before we can go home?" Which response is best for the PN to provide?

A.

"This is the only required injection your baby has to receive while in the newborn nursery."

B.

"An immunization may be administered for hepatitis B and a consent form must be signed."

C.

"If your newborn gets sick or has a complication, injectable therapy may be prescribed and given."

D.

"Blood specimens will be collected to test for glucose levels and if low, glucose injection is given."

Answer and Explanation

The Correct Answer is B

A. "This is the only required injection your baby has to receive while in the newborn nursery.": Incorrect, because newborns are often offered hepatitis B vaccination before discharge.
B. "An immunization may be administered for hepatitis B and a consent form must be signed.": The hepatitis B vaccine is commonly given before discharge with parental consent.
C. "If your newborn gets sick or has a complication, injectable therapy may be prescribed and given.": True, but does not directly address the father’s question about routine injections.
D. "Blood specimens will be collected to test for glucose levels and if low, glucose injection is given.": Glucose testing is done for at-risk infants, but glucose is usually given orally or IV, not routinely by injection.


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Related Questions

Correct Answer is D

Explanation

A. Nausea occurs at the onset of labor:
Nausea may occur but is not the primary reason for NPO status.

B. Emptying time of the stomach is increased in labor:
True, but the main concern is aspiration risk.

C. Blood is shunted from the gut during labor:
Not the major factor for NPO order.

D. There is increased risk of aspiration of emesis:
During labor, anesthesia may be required; delayed gastric emptying increases aspiration risk if vomiting occurs under sedation.

Correct Answer is C

Explanation

A. Contact the healthcare provider (HCP) about client's new onset of chest pain:
Requires RN assessment before contacting the HCP.

B. Resume administration of the anticoagulant medication therapy:
Requires provider order confirmation and RN verification.

C. Observe for bleeding at catheter insertion site every 15 minutes:
Within PN scope and critical for early detection of complications.

D. Monitor electrocardiogram (ECG) for dysrhythmias and other abnormal changes:
ECG interpretation is RN responsibility.

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