Newborn Medications

Question 1

Other name for Vitamin K

Answer 1

Phytonadione

Question 2

Route for Vitamin K

Answer 2

IM in Vastus lateralis

Question 3

Use of vitamin K

Answer 3

Prevent hemorrhagic disease of newborn
Provides vitamin k which is not synthesized in the intestine until flora is present for Vit K production

Question 4

Side effects of Vitamin K

Answer 4

Pain
Edema/erythema at injection site
Hyperbilirubinemia

Question 5

Nursing responsibilities for vitamin k

Answer 5

Give within 2 hours of birth
Give prior to circumcision
Protect drug from light until ready to give
Observe for signs of bleeding (bruising or bleeding from site, blood in urine or stools)

Question 6

Patient teaching for vitamin k

Answer 6

Teach parents symptoms of bleeding
Teach signs of infection at injection site
Teach signs of hyperbilirubinemia

Question 7

Route for erythromycin eye ointment

Answer 7

Opthalmic
1 cm ribbon into each conjunctival sac

Question 8

Classification of erythromycin eye ointment

Answer 8

Antibiotic - macrolide

Question 9

Function of erythromycin eye ointment

Answer 9

Prophylaxis for gonorrhea in eyes
Inhibits protein synthesis in bacteria; bacteriostatic

Question 10

Side effects of erythromycin eye ointment

Answer 10

Temporary blurred vision
Chemical conjunctivitis
Burning
Itching
Redness

Question 11

Nursing responsibilities for erythromycin eye ointment

Answer 11

Apply inner to outer canthus
May wipe after 1 minute
Give writhing 1-2 hrs after birth
Observe for irritation

Question 12

Patient teaching for erythromycin eye ointment

Answer 12

Medication does not need to be rinsed from infant’s eyes
Infant’s vision will be blurred while medication is in place
Not treating infant could lead to blindness from infection

Question 13

Hepatitis b vaccination route

Answer 13

IM in Vastus lateralis

Question 14

Use of hepatitis b vaccine

Answer 14

Immunization against hep b in exposed and unexposed infants

Question 15

Nursing considerations for hepatitis b vaccine

Answer 15

Parental consent prior to injection
Shake medication well
Monitor injection site
Give within 12 hours of birth to infants with infected mothers

Question 16

Patient teaching for hepatitis b vaccine

Answer 16

Teach to complete series of 3 vaccines
Monitor for SE of medication reaction (uticaria, diaphoresis, Angioedema)
Monitor injection site

Question 17

Route for hepatitis B immunoglobulin

Answer 17

IM Vastus lateralis (different site than hep b vaccine)

Question 18

Use for hep b immunoglobulin

Answer 18

Prophylaxis for infants born to hep b positive moms
Provides antibodies and passive immunity to hep b

Question 19

Side effects of hep b immunoglobulin

Answer 19

Erythema, irritation or pain at injection site
Urticaria
Angioedema

Question 20

Nursing responsibilities for hep b immunoglobulin

Answer 20

Give within 12 hours of birth
Bathe infant or leg prior to administration
Massage site after injection
Give hep b vaccine and hep b immune globulin in different sites
Do not shake the vial of vaccine

Question 21

Patient teaching for hep b immunoglobulin

Answer 21

Explain need for treatment and potential side effects
Report any signs of anaphylaxis immediately

Question 22

Route for lidocaine

Answer 22

Topical or SQ

Question 23

Max dose of lidocaine

Answer 23

5 mg/kg

Question 24

Use of lidocaine

Answer 24

Local anesthetic for circumcision
Inhibits conduction of nerve impulses from sensory nerves

Question 25

Side effects of lidocaine

Answer 25

Stinging, burning, or pain at injection site Swelling or hematoma at injection site

Question 26

Nursing responsibilities for lidocaine topical cream

Answer 26

Apply to shaft and base of penis and occlude with plastic wrap 20-30 minutes prior to procedure Evaluate patients’ pain by using NIP score Obtain consent prior to procedure NEVER use lidocaine with epi for a penile block. Can cause severe vasoconstriction and penile loss

Question 27

patient teaching for lidocaine

Answer 27

Contact nurse of PCP (once leave the hospital) if redness, bruising, or swelling worsens Infant will be monitored Q15 min x 1 hr after the procedure to check for bleeding Infant may be fussy after the procedure

Question 28

Generic name for sweet ease

Answer 28

24% oral sucrose water

Question 29

Rouge of sweet ease

Answer 29

PO Orally by syringe or pacifier that has been dipped in the solution

Question 30

Classification of sweet ease

Answer 30

Nonopioid Analgesic

Question 31

Use for sweet ease

Answer 31

Calms and soothes during painful procedures The taste provides an analgesic effect

Question 32

Side effects of sweet ease

Answer 32

Gagging Choking Hyperglycemia Bradycardia

Question 33

Nursing responsibilities for sweet ease

Answer 33

Monitor for hyperglycemia and aspiration Administer 2 minutes prior to the procedure as well as during the procedure Don’t give if an ng ant has absent bowel sounds or is at risk for aspiration Infants must be at least 32 weeks gestation and <6 months for effectiveness

Question 34

Patient teaching for sweet ease

Answer 34

Teach reason for use