Author Question: The nurse teaches new mothers about the reason their infants receive vitamin K. The nurse evaluates ... (Read 158 times)

jenna1 · **on:** Jul 23, 2018

The nurse teaches new mothers about the reason their infants receive vitamin K. The nurse evaluates instruction as being effective when the mothers make which statement?

1. Our babies do not need an injection of vitamin K unless bleeding is observed.
2. Our babies will be able to get enough vitamin K through breast milk.
3. Our babies do not have enough intestinal bacteria to synthesize vitamin K.
4. Our babies could receive vitamin K through a liquid or an injection.

Question 2

The nurse assesses which client as being at greatest risk for developing vitamin deficiencies?

1. The young male client who takes phenytoin (Dilantin) for new-onset epilepsy
2. The young female client who uses oral contraceptives for birth control
3. The young male client who eats a well-balanced diet and does not take vitamins
4. The young pregnant female client who is taking prenatal vitamins

sailorcrescent · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Vitamin K injection must be used before bleeding is observed in the infant.
Rationale 2: Vitamin K is not present in high enough amounts in breast milk to protect the infant from bleeding.
Rationale 3: The infant's gut is sterile, so there is inadequate bacteria to synthesize vitamin K, which is essential to promote blood clotting.
Rationale 4: The stimulus for vitamin K rests with an injection, not a liquid form, to promote blood clotting and stimulate intestinal synthesis of the vitamin.

Answer to Question 2

Correct Answer: 2
Rationale 1: Certain anticonvulsants can be associated with B complex deficiencies, but the client is just starting therapy so he is not at great risk.
Rationale 2: The use of oral contraceptives is associated with deficiencies of B complex vitamins.
Rationale 3: Most nutritional demands can be met with a well-balanced diet.
Rationale 4: The prenatal vitamins will meet all the vitamin requirements of the pregnant female.