When preparing to administer a hepatitis B vaccine to a newborn, ...

[moongchi]

When preparing to administer a hepatitis B vaccine to a newborn, the nurse should:
 
  1. obtain a syringe with a 25-gauge, 5/8-inch needle.
  2. confirm that the newborn's mother has been infected with the hepatitis B virus.
  3. assess the dorsogluteal muscle as the preferred site for injection.
  4. confirm that the newborn is at least 24 hours old.

Question 2

A woman has chosen the calendar method of conception control. During the assessment process, it is most important that the nurse:
 
  1. obtain a history of menstrual cycle lengths for the last 6 to 12 months.
  2. determine her weight gain and loss pattern for the previous year.
  3. examine skin pigmentation and hair texture for hormonal changes.
  4. explore her previous experiences with conception control.

[elyse44]

Answer to Question 1

1
1. Correct. Administration of the hepatitis B vaccine should be given with a 25-gauge, 5/8-inch needle.
2. Incorrect. Hepatitis B vaccination is recommended for all infants. If the infant is born to an infected mother who is a chronic carrier, hepatitis vaccine and hepatitis B immune globulin should be administered within 12 hours of birth.
3. Incorrect. Hepatitis B vaccine should be given in the vastus lateralis muscle.
4. Incorrect. Hepatitis B vaccine can be given at birth. If the mother is a hepatitis B carrier, the vaccine should be given to the infant within 12 hours of birth.

Answer to Question 2

1
1. Correct. Practice of the calendar method is based on the number of days in each cycle counting from the first day of menses. The fertile period is determined after accurately re-cording the lengths of menstrual cycles for 6 months.
2. Incorrect. Weight gain and loss may be partially related to hormonal fluctuations, but has no bearing on using the calendar method.
3. Incorrect. Integumentary changes may be related to hormonal changes, but are not indi-cators for using the calendar method.
4. Incorrect. Exploring previous experiences with conception control may demonstrate pa-tient understanding and compliancy, but is not the most important aspect to assess for discus-sion of the calendar method.

[moongchi]

Thank you

[elyse44]

No problemo