A nurse is reinforcing teaching about vitamin K with a client who is postpartum. Which of the following statements should the nurse include in the teaching?

Vitamin K decreases the newborn’s risk of health care-associated infections.

Vitamin K decreases the newborn’s risk of jaundice.

Vitamin K decreases the newborn’s risk of complications from the Hepatitis B vaccine.

Vitamin K decreases the newborn’s risk of hemorrhagic disorders.

Answer and Explanation

The Correct Answer is D

Choice A reason: This statement is incorrect. Vitamin K does not have any effect on the newborn’s risk of health care-associated infections. Vitamin K is needed for blood clotting, not for fighting infections.

Choice B reason: This statement is incorrect. Vitamin K does not have any effect on the newborn’s risk of jaundice. Jaundice is caused by high levels of bilirubin in the blood, not by low levels of vitamin K.

Choice C reason: This statement is incorrect. Vitamin K does not have any effect on the newborn’s risk of complications from the Hepatitis B vaccine. Vitamin K is not involved in the immune response to the vaccine.

Choice D reason: This statement is correct. Vitamin K decreases the newborn’s risk of hemorrhagic disorders, such as vitamin K deficiency bleeding (VKDB). VKDB is a rare but serious condition that can cause bleeding in the brain or other organs. VKDB is more common in newborns who are breastfed, premature, or have liver problems. Vitamin K is given to all newborns as an injection or oral dose to prevent VKDB.

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Correct Answer is B

Explanation

Choice A reason: This statement is false. Increased subcutaneous fat is a finding that is expected for a newborn who is large for gestational age, not post-term. Post-term newborns tend to have less subcutaneous fat due to the depletion of their glycogen stores.

Choice B reason: This statement is true. Dry, cracked skin is a finding that is expected for a post-term newborn. This is because the amniotic fluid volume decreases as the pregnancy progresses beyond the due date, and the skin loses its moisture and elasticity⁶.

Choice C reason: This statement is false. Copious vernix is a finding that is expected for a preterm newborn, not post-term. Vernix is a white, cheesy substance that covers the skin of the fetus and protects it from the amniotic fluid. It decreases as the fetus matures and is usually absent in post-term newborns.

Choice D reason: This statement is false. Scant scalp hair is a finding that is expected for a preterm newborn, not post-term. Scalp hair grows as the fetus develops and is usually abundant in post-term newborns.

A. "This is expected because of the way iron is broken down during digestion." B. "Go to the emergency room and your provider will meet you there." C. "What else have you been eating?" D. "Come to the office and we will check things out."

Correct Answer is A

Explanation

Choice A reason: This statement is correct. Black stools are a common and harmless side effect of taking iron supplements. Iron binds to the pigment in the intestine, which gives the stool its dark color. This does not indicate bleeding or any serious problem.

Choice B reason: This statement is incorrect. Going to the emergency room is not necessary for black stools caused by iron supplements. This is not a medical emergency and does not require urgent attention. However, if the client has other symptoms such as abdominal pain, vomiting, or fever, they should seek medical help⁶.

Choice C reason: This statement is incorrect. Asking what else the client has been eating is not relevant for black stools caused by iron supplements. The client's diet does not affect the color of the stool in this case. However, the nurse may ask about the client's dietary intake of iron-rich foods to assess their nutritional status.

Choice D reason: This statement is incorrect. Coming to the office is not necessary for black stools caused by iron supplements. This is not a sign of any complication or infection that needs to be checked out. However, the nurse may advise the client to continue taking the supplements as prescribed and to monitor their hemoglobin levels.

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A nurse is reinforcing teaching about vitamin K with a client who is postpartum. Which of the following statements should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a newborn immediately after delivery by a client who was at 42 weeks of gestation. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is speaking on the phone to a client who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?

Correct Answer is A

Explanation

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