Which action is most important for the practical nurse (PN) to implement to prevent bleeding in the neonate during the first hour after birth?
Replace the umbilical cord clamp close to the infant's body.
Provide the first oral fluids using formula.
Administer phytonadione intramuscularly.
Use the axillary method to obtain core body temperature.
The Correct Answer is C
A. Replace the umbilical cord clamp close to the infant's body: Cord clamping helps prevent umbilical bleeding, but does not address the systemic clotting deficiency common in newborns.
B. Provide the first oral fluids using formula: Feeding is important but does not prevent bleeding.
C. Administer phytonadione intramuscularly: Vitamin K (phytonadione) is given shortly after birth to prevent hemorrhagic disease of the newborn, as neonates have immature gut flora and cannot synthesize enough vitamin K for clotting.
D. Use the axillary method to obtain core body temperature: Temperature monitoring is important but unrelated to bleeding prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Late Middle adulthood:
Calcium intake is important at all ages, but prevention is most effective before peak bone mass is reached.
B. Late adulthood:
At this stage, bone loss prevention is still important, but most peak bone mass has already been lost.
C. Middle adulthood:
Bone mass maintenance continues, but the critical period for maximizing peak bone mass is earlier.
D. Early adulthood:
Bone mass peaks by the late 20s; maximizing calcium intake during early adulthood helps prevent osteoporosis later.
Correct Answer is A
Explanation
A. Suction the trachea: Having suction equipment available helps clear the airway if secretions or vomitus occur during or after a seizure.
B. Apply soft restraints: Restraints are not used for seizure precautions; they can cause injury during seizure activity.
C. Insert a urinary catheter: Not a seizure precaution.
D. Insert a nasogastric tube: Not a seizure precaution and may be dangerous during active seizure.
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