A nurse is preparing the plan of care for a term newborn who was asymptomatic at birth and whose mother had hepatitis B during pregnancy. Which of the following interventions should the nurse include in the plan of care?
Instruct the mother to delay breastfeeding for 1 week.
Initiate airborne precautions.
Wait at least 24 hr before bathing the newborn.
Administer hepatitis B immune globulin IM to the newborn.
The Correct Answer is D
A. Breastfeeding is not contraindicated in mothers with hepatitis B if the newborn receives appropriate prophylaxis.
B. Airborne precautions are not necessary; hepatitis B is transmitted through blood and body fluids, not airborne droplets.
C. Bathing the newborn does not affect hepatitis B transmission risk and does not need to be delayed.
D. Administering hepatitis B immune globulin (HBIG) IM to the newborn within 12 hours of birth, along with the first dose of the hepatitis B vaccine, is essential to prevent vertical transmission of hepatitis B virus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
- Oral temperature 38.3°C (101°F)
Elevated temperature indicates maternal fever, which could suggest infection such as chorioamnionitis, especially concerning with ruptured membranes. - HGB 10 g/dL (normal > 11 g/dL)
Low hemoglobin indicates anemia, which could compromise oxygen delivery to the fetus and affect maternal health during labor.
Explanation for non-highlighted findings:
- Heart rate 98/min: Slightly elevated but within normal range for labor.
- Blood pressure 112/59 mm Hg: Normal blood pressure for pregnancy.
- Uterine contractions every 3 mins moderate to palpation: Normal pattern for active labor.
Correct Answer is B
Explanation
A. There is no vaccine for hepatitis C; vaccines exist for hepatitis A and B.
B. Syphilis can be cured effectively with penicillin, especially in early stages.
C. Gonorrhea can be treated and cured with appropriate antibiotics.
D. Genital herpes simplex virus is a viral infection and cannot be cured with antibiotics; antiviral medications manage symptoms.
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