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A client asks the nurse why her newborn baby needs an injection of vitamin K. The nurse should make
which statement to the client? - Answer -"Newborns are deficient in vitamin K. This injection
prevents your baby from abnormal bleeding."
A client delivers a viable neonate who is given APGAR scores of 8 and 9 at 1 and 5 minutes. How does
the nurse characterize the neonate's physical condition? - Answer -Good
A newborn has just been circumcised. Which describes how the nurse should expect the surgical site to
appear? - Answer -Reddened, with a small amount of bloody drainage
A pregnant human immunodeficiency virus (HIV)-positive woman delivers a baby. The nurse provides
guidance to help the client make decisions regarding newborn care. Which statement by the woman
indicates that additional guidance is needed? - Answer -"I will breastfeed, especially for the first 6
weeks postpartum."
After birth the nurse prevents hypothermia as a result of evaporation by performing which action? -
Answer -Drying the baby with a warm blanket
In providing initial care to the newborn following delivery, what is the nurse's priority action? -
Answer -Turn the infant's head to the side
The nurse administers erythromycin ointment (0.5%) to the newborn's eyes, and the mother asks the
nurse why this is done. The nurse should give which response to the client? - Answer -Prevents
ophthalmia neonatorum from occurring after delivery to a neonate born to a woman with an untreated
gonococcal infection
The nurse has provided instructions to the mother of a newborn that is not circumcised about measures
to clean the penis. Which statement by the mother indicates an understanding of this procedure? -
Answer -"I need to avoid pulling back the foreskin to clean the penis because this may cause
adhesions."
The nurse is assigned to assist with caring for a neonate born to a mother who is human
immunodeficiency virus (HIV) positive. The nurse understands that which should be included in the plan
of care? - Answer -Maintaining standard precautions at all times while caring for the neonate
The nurse is assisting in caring for a newborn whose mother is Rh negative. Which is important for the
nurse to include when planning the newborn's care? - Answer -Ask about the newborn's blood
type and direct Coombs