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","B","C"]
Explanation
Choice A rationale
Routine pediatric check-ups typically occur 2–4 weeks after birth. This allows the pediatrician to monitor the baby's growth, development, and overall health, including weight gain and feeding patterns.
Choice B rationale
Home bilirubin lights are recommended for treating neonatal jaundice, a common condition in newborns. Bilirubin lights help lower bilirubin levels in the baby's blood, preventing potential complications like kernicterus.
Choice C rationale
Postpartum obstetrician appointments are usually scheduled 6–8 weeks after delivery to assess the mother's recovery, address any postpartum concerns, and provide guidance on contraception and future pregnancies.
Correct Answer is C
Explanation
Choice A rationale
Confirming Rh and Coombs status is essential for Rho(D) immunoglobulin administration, but it is not the immediate priority during acute bleeding as it does not directly address maternal or fetal distress.
Choice B rationale
Performing a sterile vaginal examination could potentially worsen bleeding if placental abruption or previa is present, making it a less safe option. The immediate concern is to assess fetal and maternal well-being.
Choice C rationale
Assessing the fetal heart rate and contraction pattern provides critical information on the fetus's condition and helps determine whether there is fetal distress, which is vital in deciding the urgency of interventions.
Choice D rationale
Determining fetal position using Leopold maneuvers is not a priority during acute bleeding episodes since it does not provide immediate information on fetal well-being or the cause of the bleeding.
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