The nurse is preparing to administer phytonadione to a newborn. Which statement made by the parents indicates understanding why the nurse is administering this medication?
Improve insufficient dietary intake.
Stimulate the immune system.
Prevent hemorrhagic disorders.
Help an immature liver.
The Correct Answer is C
Choice A rationale
Phytonadione (vitamin K1) is not administered to improve dietary intake. Newborns receive it to prevent vitamin K deficiency bleeding, as they have low levels of vitamin K at birth due to limited placental transfer.
Choice B rationale
Phytonadione does not stimulate the immune system. It is a fat-soluble vitamin essential for the synthesis of clotting factors, which prevents bleeding disorders in newborns.
Choice C rationale
Newborns are given phytonadione to prevent hemorrhagic disorders, which can occur due to their immature liver's inability to produce sufficient clotting factors without adequate vitamin K.
Choice D rationale
While phytonadione supports liver function indirectly by aiding clotting factor synthesis, its primary role is to prevent hemorrhagic disease of the newborn, not directly to help an immature liver develop.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Low back pain and pelvic cramping after amniocentesis can indicate complications such as premature labor or infection, which requires immediate medical attention.
Choice B rationale
Headache and blurred vision are less indicative of complications from amniocentesis; these symptoms are more commonly associated with conditions like preeclampsia.
Choice C rationale
Increased fetal movement is not typically a complication of amniocentesis and does not directly relate to immediate maternal or fetal health concerns.
Choice D rationale
Epigastric pain is not a specific complication of amniocentesis; it is more commonly associated with gastrointestinal issues or, in severe cases, preeclampsia.
Correct Answer is D
Explanation
Choice A rationale
Caput succedaneum is a benign swelling of the soft tissues of the scalp that crosses suture lines and does not require drainage.
Choice B rationale
Cephalhematoma is a collection of blood between the skull and periosteum that does not cross suture lines; it may contribute to jaundice as it is reabsorbed by the body.
Choice C rationale
While cephalhematoma usually resolves without intervention, it is important to monitor for potential complications, including jaundice, due to the breakdown of red blood cells.
Choice D rationale
Caput succedaneum typically resolves on its own without intervention, as the fluid is gradually absorbed by the body over time.
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