Question 1

Vitamin K is a concern in newborns because:
A)Breast milk is too high in vitamin K.
B)Breast milk is low in vitamin K.
C)Vitamin K is toxic to newborns.
D)Vitamin K causes extreme lethargy.

Accepted Answer

Vitamin K is a concern in newborns because breast milk is low in vitamin K. The intestinal flora does not make enough vitamin K, therefore, vitamin K is administered to infants in order to prevent vitamin K deficiency bleeding.

Question 2

Casein in breast milk provides the infant with:
A)Folic acid and amino acids.
B)Vitamins K and C.
C)Calcium and phosphate.
D)Extra gastric juices.

Accepted Answer

Casein in breast milk provides the infant with calcium and phosphate. It also slows down gastric emptying with its curds.

Question 3

Lactose in breast milk:
A)Causes the baby to awaken every 2 hours.
B)Causes the baby to awaken every 4 hours.
C)Supplies glucose.
D)Supplies adipose tissue.

Accepted Answer

Lactose in breast milk supplies glucose to the baby. Glucose is necessary for the development of the central nervous system. Lactose does not form fat, or adipose, tissue; and it does not awaken the baby.

Question 4

The nurse prepares to administer vitamin K1 phytonadione (AquaMEPHYTON) to a male newborn. Which of the following nursing actions is inappropriate?
A)Vitamin K1 is stored at room temperature in the closed original carton until the contents have been used.
B)Vitamin K1 is administered before circumcision.
C)Vitamin K1 is administered through the intramuscular route within 12 hours of birth.
D)Vitamin K1 is administered intramuscularly in the lateral aspect of the thigh.

Accepted Answer

Vitamin K1 must be administered through the intramuscular or subcutaneous route in the lateral aspect of the thigh within the first hour of life. It must be administered before any type of procedure, such as circumcision, is initiated. Vitamin K1 is sensitive to moisture and heat.

Question 5

A client asks the nurse why her newborn is getting an injection of vitamin K. The nurse's most appropriate response is:
A)"Vitamin K protects the newborn from nutritional deficiencies."
B)"Vitamin K protects the newborn from excessive bleeding."
C)"Vitamin K is needed to assist the maturation of the gut."
D)"Vitamin K prevents metabolic disorders."

Accepted Answer

Vitamin K is administered in the neonate to prevent excessive bleeding, in case of trauma. Vitamin K is synthesized by the bacteria in the large intestine. Because the neonates have immature large intestines, they are deficient in Vitamin K, which is needed to activate clotting factors II, VII, IX, and X.

Quiz 4: Nursing Actions and Client Education

Vitamin K is a concern in newborns because:

Casein in breast milk provides the infant with:

Lactose in breast milk:

The nurse prepares to administer vitamin K1 phytonadione (AquaMEPHYTON) to a male newborn. Which of the following nursing actions is inappropriate?

A client asks the nurse why her newborn is getting an injection of vitamin K. The nurse's most appropriate response is: