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 B
Explanation
Choice A rationale
Hyporeactivity is not typically associated with neonatal abstinence syndrome. Common indicators include heightened sensory sensitivity and autonomic dysregulation, leading to hyperactivity rather than hyporeactivity.
Choice B rationale
Excessive high-pitched crying results from central nervous system hyperirritability caused by withdrawal. Neonatal abstinence syndrome involves exaggerated responses to stimuli, reflecting the neonate’s difficulty in self-regulation.
Choice C rationale
Acrocyanosis, or bluish discoloration of the extremities, is a normal finding in newborns and not a specific indicator of neonatal abstinence syndrome. It resolves as circulation improves post-birth.
Choice D rationale
A respiratory rate of 50/min is within the normal range for neonates (30–60/min). Neonatal abstinence syndrome often presents with tachypnea, highlighting autonomic nervous system dysregulation.
Correct Answer is A
Explanation
Choice A rationale
Checking the identification badge ensures the individual removing the baby is authorized, reducing the risk of abduction. This is a recommended safety practice in hospital settings to protect newborns.
Choice B rationale
Including photos in public birth announcements on social media increases the risk of identity theft or child abduction. It is not recommended as part of newborn safety measures.
Choice C rationale
Allowing the baby to sleep on the bed without supervision risks accidental injury, such as falls or suffocation. Safe sleep practices emphasize supervised, separate sleeping areas.
Choice D rationale
Nurses are instructed to transport newborns in bassinets rather than in their arms to minimize risks such as drops, maintaining higher safety standards in hospital environments.
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