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Practice Question

A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse anticipate administering? Select all that apply.

Answer Choices:

Correct Answer:

Antibiotic ointment to both eyes

Rationale:

Antibiotic ointment to both eyes

⩥ This is routinely administered to prevent ophthalmia neonatorum, a severe eye infection caused by Neisseria gonorrhoeae or Chlamydia trachomatis.

⩥ The ointment, usually erythromycin, is applied within 1–2 hours of birth as a prophylactic measure.

⩥ This intervention is mandated in many regions and is critical for preserving visual health in the newborn.

⩥ Delaying or omitting this medication could result in corneal ulceration and blindness.

Hepatitis B immunization

⩥ The hepatitis B vaccine is recommended for all newborns within 12 hours of birth, especially if the mother's HBsAg status is positive or unknown.

⩥ Early administration helps initiate the development of active immunity against the hepatitis B virus.

⩥ This vaccine is part of the routine immunization schedule and reduces the risk of chronic liver disease later in life.

⩥ If maternal status is positive, the vaccine is given alongside hepatitis B immune globulin (HBIG).

Vitamin K injection

⩥ Newborns are born with low stores of vitamin K, putting them at risk for vitamin K deficiency bleeding (VKDB).

⩥ A single intramuscular dose of vitamin K is administered shortly after birth to promote normal blood clotting.

⩥ This preventive measure is essential to avoid intracranial hemorrhage and other potentially fatal bleeding disorders.

⩥ Oral administration is less effective and not typically recommended in the immediate newborn period.

Want to practice more questions like this?

This question is from ATI RN Capstone Exam (I) which contains 44 questions.

More Questions from This Exam
A nurse is preparing to assess a newborn who is post-term. Which of the following findings should the nurse expect? (Select all that apply)

Answer Choices:

A. Vernix in the folds and creases
B. Abundant lanugo
C. Positive Moro reflex
D. Cracked peeling skin
E. Short soft fingernails
A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

Answer Choices:

A. Inwardly turned foot on the affected side
B. Absent plantar reflexes
C. Lengthened thigh on the affected side
D. Asymmetric thigh folds
A nurse is completing a home visit to a mother who is 3 days postpartum and breastfeeding her newborn. The mother expresses concern about the amount of weight the newborn has lost since birth. Which of the following is a response the nurse should make?

Answer Choices:

A. “The cause might be too short or infrequent feedings.”
B. “It is due to the newborn’s loss of the influence of the maternal hormones.”
C. “This might be related to your baby having 3 stools a day.”
D. “You might want to offer water supplements between feedings.”
From Exam
ATI RN Capstone Exam (I)

44 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: ATI CAPSTONE
  • Answer Choices: 5
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