A nurse reinforcing teaching about vitamin K with a client who is postpartum. Which of the following statements should the nurse include?
Vitamin K decreases the newborn's risk of jaundice.
Vitamin K decreases the newborn's risk of health care-associated infections.
Vitamin K decreases the newborn's risk of hemorrhagic disorders.
Vitamin K decreases the newborn's risk of complications from the Hepatitis B vaccine.
The Correct Answer is C
Choice A rationale :
Vitamin K decreases the newborn's risk of jaundice. Rationale: This statement is incorrect. Vitamin K plays no direct role in reducing the risk of jaundice in newborns. Jaundice is primarily caused by the accumulation of bilirubin in the blood, which is a different issue than hemorrhagic disorders.
Choice B rationale
Vitamin K decreases the newborn's risk of healthcare-associated infections. Rationale: This statement is incorrect. Vitamin K is not related to reducing the risk of healthcare-associated infections. Its main function is related to blood clotting and preventing hemorrhagic disorders.
Choice C rationale
Vitamin K decreases the newborn's risk of hemorrhagic disorders. Rationale: This statement is correct. Vitamin K is essential for the production of clotting factors in the blood, which helps prevent bleeding or hemorrhagic disorders in newborns. Newborns are born with low levels of vitamin K, so administering a vitamin K injection at birth is a common practice to prevent potential bleeding issues.
Choice D rationale
Vitamin K decreases the newborn's risk of complications from the Hepatitis B vaccine. Rationale: This statement is incorrect. Vitamin K is not directly related to reducing the risk of complications from the Hepatitis B vaccine. The vaccine is designed to protect against Hepatitis B infection, and vitamin K is not involved in its efficacy or safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is D. Cover the client with warm blankets.
Choice A rationale:
Shaking chills are not always associated with fever, especially during the immediate postpartum period. While determining the client's temperature can rule out infection, this action does not provide immediate relief or comfort. The chills are often physiological due to hormonal and vascular changes.
Choice B rationale:
Seizure precautions are unnecessary unless additional symptoms, such as loss of consciousness or convulsions, are observed. Shaking chills are typically not indicative of a neurological event but rather a normal postpartum response.
Choice C rationale:
Notifying the charge nurse is unnecessary unless the shaking is accompanied by other abnormal findings, such as fever or prolonged chills. The immediate priority is to ensure client comfort.
Choice D rationale:
Providing warm blankets addresses the primary issue of discomfort caused by postpartum chills. This is a standard intervention to stabilize the client's body temperature and promote comfort. The action is immediate, non-invasive, and effective.
Correct Answer is A
Explanation
Step 1 is assessing heart rate. A heart rate of 130/min earns 2 points since a rate above 100/min is optimal.
Step 2 is assessing respiratory effort. A lusty cry earns 2 points as strong crying indicates good respiratory function.
Step 3 is assessing muscle tone. Flexed extremities earn 1 point since full active movement would score 2.
Step 4 is assessing reflex irritability. Grimace when suctioned earns 1 point as a vigorous response (cough, sneeze) would score 2.
Step 5 is assessing color. Acrocyanosis earns 1 point since a fully pink body scores 2.
Final answer: 7
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