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Author Question: A nursing student asks a nurse working in the newborn nursery how vitamin K deficiency is treated in ... (Read 84 times)

leilurhhh

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on: Jul 23, 2018
A nursing student asks a nurse working in the newborn nursery how vitamin K deficiency is treated in newborns. Which response by the nurse is correct?
 
  a. A newborn infant's intestinal flora will produce vitamin K.
  b. If coagulation studies show a bleeding disorder, oral menadione is given.
  c. Menadione is given intravenously shortly after delivery.
  d. Phytonadione is given intramuscularly immediately after delivery.

Question 2

A patient is taking a combination oral contraceptive (OC) and tells the nurse that she is planning to undergo knee replacement surgery in 2 months. What will the nurse recommend for this pa-tient?
 
  a. The patient should ask her provider about an OC with less progestin.
  b. The patient should discuss an alternate method of birth control prior to surgery.
  c. The patient should request an OC con-taining less estrogen after surgery.
  d. The patient should take the OC at bedtime after her surgery to reduce side effects.


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ansleighelindsey

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Reply #1 on: Jul 23, 2018
Answer to Question 1

D
A normal infant is born vitamin K deficient, and all infants are given an IM injection of phyto-nadione immediately after delivery. Newborns have not developed the intestinal flora needed to produce sufficient amounts of vitamin K. Menadione is not used in infants because of the in-creased risk of hyperbilirubinemia associated with its use.

Answer to Question 2

B
Patients taking an OC who undergo surgery in which immobilization increases the risk of post-operative thrombosis should stop taking the OC at least 4 weeks prior to surgery. The patient should discuss an alternate method of birth control with her provider. Estrogen, not progestin, increases the risk of thrombosis. The estrogen-containing OC should be stopped 4 weeks prior to surgery. Taking the OC at bedtime does not decrease the risk.


leilurhhh

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


ansleighelindsey

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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