A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles?

Ventrogluteal

Vastus lateralis

Dorso-gluteal

Deltoid

Answer and Explanation

The Correct Answer is B

A.   The ventrogluteal site can be used for IM injections in older infants but is not typically used in newborns.
B.   The vastus lateralis muscle is the preferred site for IM injections in newborns due to its size and accessibility.
C.   The dorso-gluteal site is not recommended for IM injections in infants due to the risk of injury to the sciatic nerve.
D.   The deltoid muscle is not typically used for IM injections in newborns due to its small size and less developed musculature.

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Correct Answer is A

Explanation

A. Uterine atony is the most common cause of postpartum hemorrhage and is more likely to occur after a delivery of a large infant or in cases of rapid or prolonged labor.
B. Thrombophlebitis is a risk after childbirth, especially in clients who have undergone cesarean delivery or who have other risk factors such as prolonged immobility, but it is not directly related to the size of the newborn.
C. Puerperal infection is a risk following childbirth, but it is not directly related to the size of the newborn.
D. Retained placental fragments can lead to postpartum hemorrhage, but the size of the newborn is not a direct risk factor for this complication.

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

Correct Answer is C

Explanation

A. Using a basin during bathing is a safe practice to prevent accidental slips or falls.

B. Testing the water temperature before bathing is essential to prevent burns or scalds.

C. Baby powder is not recommended for preventing diaper rash as it can contribute to respiratory issues when inhaled by the baby and has been associated with an increased risk of respiratory
problems and infections.

D. Using mild soap is appropriate for newborn skin to prevent irritation.

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A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 5 hours postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz (4252 g). The nurse should recognize that this client is at risk for which of the following postpartum complications?

Correct Answer is 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 C

Explanation

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