A nursery nurse is caring for a newborn who was born 2 hours ago.
Upon review of the prenatal records, the nurse notes the following prenatal panel results: A positive, Hepatitis B positive, RPR negative, Rubella immune, HIV negative, GBS positive.
In addition to Vitamin K and Erythromycin ophthalmic ointment, what injection(s) should the newborn receive?

Hepatitis B vaccine only, administered within 1 hour of birth.

Hepatitis B vaccine and Hepatitis B immunoglobulin administered within 12 hours of delivery.

Hepatitis B immunoglobulin (HBIG) only, administered within 12 hours of birth.

Hepatitis B immunoglobulin (HBIG) within 12 hours, followed by hepatitis B vaccine monthly for 12 months.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Administering only the Hepatitis B vaccine within 1 hour of birth is not sufficient for a newborn born to a Hepatitis B positive mother. The newborn also needs Hepatitis B immunoglobulin (HBIG) to provide immediate passive immunity.

Choice B rationale

Administering both the Hepatitis B vaccine and Hepatitis B immunoglobulin (HBIG) within 12 hours of delivery is the recommended practice for newborns born to Hepatitis B positive mothers. This provides both active and passive immunity.

Choice C rationale

Administering only Hepatitis B immunoglobulin (HBIG) within 12 hours of birth is not sufficient. The newborn also needs the Hepatitis B vaccine to develop long-term immunity.

Choice D rationale

Administering Hepatitis B immunoglobulin (HBIG) within 12 hours, followed by monthly Hepatitis B vaccines for 12 months, is not the standard practice. The newborn should receive the Hepatitis B vaccine series according to the recommended schedule. .

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Correct Answer is D

Explanation

Choice A rationale

Microcephaly is not typically associated with an increased risk of unconjugated bilirubin and jaundice.

Choice B rationale

Polydactyly is a congenital condition involving extra fingers or toes and is not associated with an increased risk of unconjugated bilirubin and jaundice.

Choice C rationale

Caput succedaneum is a condition involving swelling of the scalp in a newborn and is not typically associated with an increased risk of unconjugated bilirubin and jaundice.

Choice D rationale

Cephalohematoma is a collection of blood between a baby’s scalp and the skull bone. It is associated with an increased risk of unconjugated bilirubin and jaundice due to the breakdown of red blood cells in the hematoma. .

A. Drying the newborn’s skin thoroughly. B. Maintaining ambient room temperature at 24°C (75°F). C. Placing the newborn on a warm surface. D. Preventing air drafts.

Correct Answer is A

Explanation

Choice A rationale

Drying the newborn’s skin thoroughly immediately after birth helps reduce heat loss by evaporation, which is a significant concern as wet skin can cause rapid heat loss.

Choice B rationale

Maintaining ambient room temperature at 24°C (75°F) helps prevent heat loss by convection but does not directly address evaporation.

Choice C rationale

Placing the newborn on a warm surface helps prevent heat loss by conduction but does not address evaporation.

Choice D rationale

Preventing air drafts helps reduce heat loss by convection but does not address evaporation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursery nurse is receiving a report on her assigned 4 neonates.Which of the following conditions is high risk for unconjugated bilirubin and jaundice?

Correct Answer is D

Explanation

A nurse on the labor and delivery unit is caring for a newborn immediately following birth.Which of the following actions by the nurse caring for the newborn reduces heat loss by evaporation?

Correct Answer is A

Explanation

A nurse is caring for a newborn 4 hours after birth.Which of the following actions should the nurse include in the plan of care to prevent jaundice?

The nurse is preparing to teach the postpartum mom about newborn feeding cues.Which of the following behaviors of the infant would be considered early hunger cues? Select all that apply.

A nursery nurse is admitting a neonate and is performing the neonatal assessment.The apical pulse is auscultated with a rate of 124 bpm, after one full minute of listening.What is the next appropriate action should the nurse take?

A nurse is teaching a newborn’s parent to care for the umbilical cord stump.Which of the following instructions should the nurse include?

A nurse is completing a full assessment of a newborn at 4 hours of life. For each of the assessment findings below, click to specify if this is an expected (normal) newborn finding or an abnormal finding. Note: each column must have at least one response option selected.

A nurse is caring for a newborn who was born at 39 weeks gestation and weighs 3350 g. Based on the weight and gestational age, what is the most appropriate way to document the findings?

A nurse is performing a newborn assessment and notes depressed fontanels.Which of the following is true regarding depressed fontanels in newborn assessment?

A nurse places a newborn under a radiant heat warmer after birth.The purpose of this action is to prevent which of the following in the newborn?