Phytonadione (Vitamin K) for Newborn

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4 Phytonadione (Vitamin K) for Newborn NCLEX Questions

Question 1 of 4

The labor and delivery nurse is caring for a newborn. The nurse knows that phytonadione should be given when?

30 minutes after delivery

Prior to discharge

Immediately after delivery

At one hour of life

Question 2 of 4

A client refuses the phytonadione medication for her newborn. Which of the following could occur because of this?

Yellow drainage from the umbilical cord

Caput succedaneum

Neonatal infection

Oozing from circumcision site

Question 3 of 4

Parents of a newborn baby are asking the nurse about the role of phytonadione. The best response from the nurse is which of the following?

It is the first series of vaccines given to the newborn after delivery

To give immunity to the newborn for some protection that they lack at birth

To give the newborn what is needed for blood clotting because they aren’t born with it

To thin blood in the newborn for protection from blood clots

Question 4 of 4

The nurse is preparing to administer phytonadione to a newborn. By what route is this administered?

IM injection

Eye drops

Subcutaneous

IV administration

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OB Medications (Cheatsheet)

Vitamin K1 (Phytonadione) (Picmonic)

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Outline

Overview

IM injection given shortly after birth
Also known as Vitamin K

Nursing Points

General

Why it’s routinely given: Newborns are born without coagulation factors
This is given to prevent any hemorrhagic disorders that may result, as newborns are deficient in vitamin K at birth.

Assessment

Monitor for bleeding

Therapeutic Management

Given IM
1. Administer IM injection in thigh (vastus lateralis)
  1. Hold them tight because they’ll move!
Given 1 hr after birth
1. Remember skin to skin time with mother is priority, this can be given after the Golden Hour