Complete the following sentence using the lists of options.
The nurse should prescribe intramuscular ceftriaxone to decrease the risk of ophthalmia neonatorum in a newborn.
The nurse should identify ceftriaxone as a suitable medication for bacterial infections.
The nurse should use intramuscular ceftriaxone to treat gonorrhea effectively.
The nurse should select intramuscular ceftriaxone for prophylaxis against postpartum infections.
The Correct Answer is A
Choice A rationale
Intramuscular ceftriaxone is effective in preventing ophthalmia neonatorum, caused by Neisseria gonorrhoeae. This bacterial prophylaxis inhibits cell wall synthesis, reducing infection transmission from mother to newborn.
Choice B rationale
While ceftriaxone treats bacterial infections broadly, this choice lacks specificity to neonatal risk factors like gonococcal transmission. It’s insufficient for targeted preventative care against ophthalmia neonatorum.
Choice C rationale
Ceftriaxone effectively treats gonorrhea by targeting penicillin-binding proteins. However, this option overlooks preventive measures crucial for neonates, focusing instead on therapeutic intervention for active infections.
Choice D rationale
Postpartum infection prophylaxis might use ceftriaxone, but it fails to address neonatal ophthalmic concerns. The focus here is misplaced, diverging from the stated preventive objective for the newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Potassium intake does not directly affect fibrocystic breast changes or menstruation-related breast discomfort. Fibrocystic changes are influenced by hormonal fluctuations, not electrolyte levels, requiring measures targeting hormonal effects.
Choice B rationale
Increasing fluid intake to 3 liters per day does not specifically alleviate fibrocystic breast discomfort during menstruation. Excess fluid can exacerbate swelling, leading to increased breast tenderness rather than relief.
Choice C rationale
Alcohol consumption can worsen fibrocystic breast discomfort due to its estrogen-modulating effects, which may exacerbate hormonal fluctuations during menstruation, increasing breast pain and sensitivity.
Choice D rationale
Fiber intake does not directly influence fibrocystic breast discomfort or hormonal activity associated with menstruation. Limiting fiber intake is unrelated to managing symptoms of hormonal-induced breast changes.
Correct Answer is B
Explanation
Choice A rationale
Nevus flammeus is a capillary malformation, presenting as a flat, purple-red birthmark that does not cause swelling or cross suture lines, distinguishing it from caput succedaneum.
Choice B rationale
Caput succedaneum involves swelling of the scalp caused by pressure during delivery, often crossing suture lines due to subcutaneous fluid accumulation, a hallmark distinguishing it from other neonatal head conditions.
Choice C rationale
Cephalohematoma is a subperiosteal hemorrhage limited by suture lines, making it distinct from caput succedaneum, which crosses suture lines and involves diffuse subcutaneous swelling.
Choice D rationale
Erythema toxicum is a benign, blotchy skin condition in neonates that does not affect the scalp or cause swelling, further distinguishing it from conditions related to traumatic delivery.
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