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Author Question: Administration of medications after birth is the topic of discussion during a prenatal education ... (Read 16 times)

penguins

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Administration of medications after birth is the topic of discussion during a prenatal education class. Which statement indicates to the nurse that the pregnant patient understands the primary indication for the administration of vitamin K?
 
  a. The nurse will draw blood to determine if vitamin K is needed.
  b. Vitamin K prevents the possibility of bleeding problems in my baby.
  c. My baby will receive a shot when the nurse administers the vitamin K.
  d. Vitamin K will be administered shortly after birth, generally within the first hour.

Question 2

The postpartum nurse is reviewing oral-nasal bulb suctioning with a first-time mom. Which statement will the nurse need to correct?
 
  a. Depress the bulb prior to inserting the tip.
  b. Suction the nose first and then the mouth.
  c. Keep a bulb syringe in the bassinet at all times.
  d. Gradually release the pressure on the bulb while withdrawing it.



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quynhmickitran

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Answer to Question 1

ANS: B
This indication is the reason for vitamin K administration. Vitamin K is given to neonates because they cannot synthesize it in the intestines without bacterial flora. This places them at risk for hemorrhagic disease of the newborn (vitamin K deficiency disease). One dose of vitamin K intramuscularly after birth prevents bleeding problems until the infant is able to produce vitamin K in sufficient amounts. Although the injection is usually given within the first hour after birth, it can be delayed until the infant has finished breastfeeding shortly after birth.

Answer to Question 2

ANS: B
The mouth should be suctioned first because the infant may gasp when the nose is suctioned, causing aspiration of mucus or fluid in the mouth. Then the nose is suctioned gently and only if necessary. Suctioning is traumatic to the delicate tissues and may cause edema of the nasal passages. The remaining statements are correct.





 

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