A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?

The hepatitis B vaccine is monthly until the newborn tests negative for the hepatitis B surface antigen

Hepatitis B immune globulin and the hepatitis B vaccine within 12 hours of birth

Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months

The hepatitis B vaccine at 24 hours followed by hepatitis B immune globulin every 12 hours for 3 days

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Administering the hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen is not the appropriate treatment for a newborn whose mother is positive for the hepatitis B surface antigen. Immediate intervention is required to prevent transmission.
Choice B rationale:

The newborn of a mother who is positive for the hepatitis B surface antigen should receive hepatitis B immune globulin (HBIG) and the hepatitis B vaccine within 12 hours of birth. HBIG provides passive immunity to the baby while the vaccine stimulates active immunity.
Choice C rationale:

Administering hepatitis B immune globulin for 1 week followed by the hepatitis B vaccine monthly for 6 months is not the correct treatment plan. Immediate intervention is necessary to prevent transmission to the newborn.
Choice D rationale:

Administering the hepatitis B vaccine at 24 hours followed by hepatitis B immune globulin every 12 hours for 3 days is not the appropriate treatment. Hepatitis B immune globulin should be given within 12 hours of birth, not over several days.

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Correct Answer is B

Explanation

Choice A rationale:
Placing only part of the nipple in the baby's mouth may result in an ineffective latch, leading to breastfeeding difficulties.
Choice B rationale:
Placing the nipple and 2 to 3 cm of areolar tissue around the nipple into the baby’s mouth aids in adequately compressing the milk ducts. This placement decreases stress on the nipple and prevents cracking and soreness.
Choice C rationale:
Placing the entire areolar is not appropriate.
Choice D rationale:
While babies do have natural instincts to breastfeed, it is essential to provide the mother with specific guidance on achieving a proper latch to ensure successful breastfeeding.

A. "I will stop breastfeeding until I am done with the antibiotics." B. "I'll feed my baby every 2 hours." C. "I won't wear a bra during the daytime." D. “I’ll apply cold compresses 20 min before each feeding."

Correct Answer is D

Explanation

Choice A rationale: Stopping breastfeeding is not an appropriate response to breast engorgement. Continuing to breastfeed frequently and effectively can help relieve the engorgement and ensure adequate milk supply.
Choice B rationale: While frequent breastfeeding is beneficial for both the baby and mother, this statement does not directly address breast engorgement.
Choice C rationale: Wearing a supportive bra during the daytime can actually help reduce breast engorgement and discomfort by providing gentle pressure and support to the breasts.
Choice D rationale: Breast engorgement is a common issue for breastfeeding mothers, especially during the early days after delivery. Applying cold compresses to the breasts before each feeding can help reduce swelling and discomfort associated with engorgement, making it easier for the baby to latch onto the breast.

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A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the baby's mouth, which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

A home health care nurse is reinforcing teaching about breast engorgement with a client who is postpartum and is breastfeeding her newborn. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is D

Explanation

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A nurse is caring for a postpartum client and her newborn. The client asks the nurse to feed the newborn. Which of the following responses should the nurse make?