Clinical context A stable term newborn weighing 3.2 kg is 20 minutes old, has not yet received vitamin K prophylaxis, and the parents ask why an intramuscular injection is recommended. Which actions are appropriate when administering phytonadione to prevent vitamin K-deficiency bleeding in a newborn? Select exactly 4 responses.
Select All That Apply
Choose your responses, then check the answer.
Explanation
Safe newborn prophylaxis requires product and dose verification, timely administration, caregiver explanation, documentation, and follow-up. Preservative exposure and concentration must be checked rather than assumed.
Quick answer Use verify, give on time, explain, document, and reassess.
Why this is correct Phytonadione prevents bleeding; waiting for hemorrhage defeats prophylaxis. Newborn medication selection must account for formulation and excipient exposure.
Easy analogy or mental picture Use a family-centered medication-safety loop: verify age or pregnancy context, identify the exposure and new cue, prevent further harm, stabilize the client, and confirm the response.
Memory hook Population, indication, dose or route, contraindication, urgent cue, protective action, and reassessment.
NCLEX decision rule Choose the action that protects the maternal, newborn, or pediatric client from the most immediate medication-related harm while preserving authorized treatment.
Why the other choices are wrong Options that normalize a danger sign, substitute an unapproved route or dose, or delay reassessment leave the client exposed to preventable harm.
References
1DailyMed: phytonadione injectable emulsionVitamin K-deficiency bleeding prophylaxis in neonates, single dose within 1 hour of birth, response assessment, and benzyl-alcohol exposure consideration
Clinical contextA stable term newborn weighing 3.2 kg is 20 minutes old, has not yet received vitamin K prophylaxis, and the parents ask why an intramuscular injection is recommended.