A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?

Use a 20-gauge needle to administer the vaccine.

Choose a 3/8-inch needle to administer the vaccine.

Administer the vaccine into the dorsal gluteal muscle.

Administer 0.5 mL of the vaccine.

Answer and Explanation

The Correct Answer is B

A)   Incorrect- A 20-gauge needle is too large and could cause unnecessary pain for the newborn.
B)   Correct - Choosing a 3/8-inch needle is appropriate for administering vaccines to newborns. he hepatitis B vaccine is given intramuscularly in the anterolateral thigh of newborns. The needle size should be appropriate for the muscle mass and age of the infant. A 3/8-inch needle is recommended for newborns, while a 20-gauge needle is too large and may cause tissue damage.
C)   Incorrect- Administering the vaccine into the dorsal gluteal muscle is not recommended because of the risk of injury to the sciatic nerve; the recommended site is the vastus lateralis muscle in the anterolateral thigh.
D)   Incorrect- The hepatitis B vaccine is usually administered in a dose of 0.5 mL for newborns, but this is not the only action that the nurse should take.

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Correct Answer is C

Explanation

A) Incorrect- Checking urine for ketones is not necessary if the newborn's blood glucose level is low but stable and the baby is asymptomatic.
B) Incorrect- Administering glucagon is not indicated for an asymptomatic newborn with a low but stable blood glucose level.
C) Correct - Encouraging additional feeding is appropriate for an asymptomatic newborn with a low blood glucose level. Regular feeding can help increase blood glucose levels.
D) Incorrect- Waiting 4 hours to recheck blood glucose might not be appropriate if the baby's blood glucose is currently low. Addressing the low blood glucose level is more immediate.

A. Check the newborn's skin for ecchymosis. B. Assist the mother to breastfeed the newbom after birth. C. Obtain a stool sample of meconium. D. Assist with administering a blood transfusion to the newborn. E. Check the newborn's blood glucose level.

Correct Answer is ["A","B","E"]

Explanation

A) Correct - Checking the newborn's skin for ecchymosis can help identify potential birth-related injuries, as large-for-gestational-age newborns might experience more trauma during delivery.
B) Correct - Breastfeeding can help regulate the newborn's blood glucose levels and provide necessary nutrients.
C) Incorrect- Meconium is the early stool passed by a newborn and might be checked for various reasons but is not specifically related to a large-for-gestational-age newborn.
D) Incorrect- Administering a blood transfusion to a newborn is not typically a part of the care plan for large-for-gestational-age newborns.
E) Correct- The nurse should check the newborn's blood glucose level regularly and provide interventions as needed.

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A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is ["A","B","E"]

Explanation

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