Nokea
Why is vitamin K given by injection to the newborn?
- A. Most mothers have a vitamin K deficiency that develops during pregnancy.
- B. Bacteria that synthesize vitamin K are not present in newborns.
- C. Vitamin K prevents the synthesis of prothrombin.
- D. The newborn does not store vitamin K.
Correct Answer: B
Rationale: Newborns are not able to synthesize vitamin K in the colon until they have adequate intestinal flora, therefore, the vitamin K injection is given as a prevention measure against hemorrhage.
You may also like to solve these questions
Which newborn assessment finding can suggest a chromosomal disorder?
- A. Epstein pearls
- B. Gynecomastia
- C. Babinski reflex
- D. Simian crease
Correct Answer: D
Rationale: A simian crease may indicate a chromosomal disorder.
The new mother tells the home health nurse that she is concerned about her 5-day-old infant's hard dried umbilical stump. What time frame should the nurse give the mother for the umbilical stump to fall off?
Correct Answer: 10 to 14 days
Rationale: The umbilical stump will turn brownish black and fall off within 10 to 14 days after birth.
Following delivery of the newborn which nursing intervention should be carried out immediately?
- A. Weigh the infant.
- B. Warm the infant.
- C. Bathe the infant.
- D. Inoculate the infant.
Correct Answer: B
Rationale: Maintenance of body temperature is the primary concern when caring for the newborn. The infant will also be weighed, bathed, and inoculated, but those measures are not the primary concern.
The new mother has decided not to breastfeed the baby. How should the nurse correctly instruct the mother to suppress her milk supply?
- A. Pump the breasts to remove milk
- B. Apply warm moist compresses
- C. Restrict oral fluids
- D. Apply a firm bra and ice packs
Correct Answer: D
Rationale: If a patient is not breastfeeding, compress the breasts with a firm bra and wrapped ice packs to suppress the milk supply. Pumping the breasts and applying warm, moist compresses are instructions for the breast-feeding mother to deal with the painful symptoms of engorgement.
A new mother had spinal anesthesia during a cesarean delivery. She now has a desire to void and can wiggle her toes. What should be the nurse's response when the mother asks to go the bathroom?
- A. Assess her blood pressure.
- B. Obtain a wheelchair.
- C. Palpate her bladder.
- D. Put slippers on her feet.
Correct Answer: D
Rationale: The nurse should check that the mother is wearing slippers to ensure better footing. If the mother has a desire to void and can move her toes, there is no need for her to remain bedridden.