Author Question: The nurse is caring for a newborn immediately after birth. The highest priority nursing intervention ... (Read 41 times)

shofmannx20 · **on:** Jul 23, 2018

The nurse is caring for a newborn immediately after birth. The highest priority nursing intervention to prevent bleeding is to:

a. administer feeding formula that contains iron.
b. order clotting factor studies after birth.
c. wrap the baby in double blankets.
d. administer vitamin K.

Question 2

How should the nurse interpret a rubella titer of 1:6/1:10?

a. The rubella vaccine is likely to cause anaphylactic reaction.
b. The rubella vaccine will likely be ineffective with this client.
c. The client has no need for the rubella vaccine.
d. The client has a need for the rubella vaccine.

Eazy416 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Because neonates have a sterile gut, they do not make vitamin K and must receive it to prevent bleeding.

Answer to Question 2

ANS: D
A rubella titer of less than 1:8/1:10 (agency lab), negative, or not immunized indicates need for rubella vaccine administration.