Vitamin K Injection
Vitamin K Injection ( 4 Questions)
A nurse is caring for a newborn who did not receive vitamin K injection at birth due to parental refusal.
Which of the following signs and symptoms should alert the nurse to a possible vitamin K deficiency bleeding (VKDB)?
Petechiae, ecchymosis, or oozing from puncture sites are signs and symptoms of vitamin K deficiency bleeding (VKDB) in newborns. VKDB is a rare form of bleeding disorder that affects newborns and young infants due to low stores of vitamin K at birth. Vitamin K is a substance that our body needs to form clots and to stop bleeding.
Pallor, tachycardia, or poor perfusion are signs of anemia or shock, which can have many causes other than VKDB.
Jaundice, dark urine, or clay-colored stools are signs of liver disease or biliary obstruction, which can affect vitamin K absorption but are not specific for VKDB.
Hypoglycemia, lethargy, or jitteriness are signs of low blood sugar or neonatal abstinence syndrome, which are not related to VKDB.
The correct answer is choice A. Petechiae, ecchymosis, or oozing from puncture sites are signs and symptoms of vitamin K deficiency bleeding (VKDB) in newborns. VKDB is a rare form of bleeding disorder that affects newborns and young infants due to low stores of vitamin K at birth. Vitamin K is a substance that our body needs to form clots and to stop bleeding.
Choice B is wrong because pallor, tachycardia, or poor perfusion are signs of anemia or shock, which can have many causes other than VKDB.
Choice C is wrong because jaundice, dark urine, or clay-colored stools are signs of liver disease or biliary obstruction, which can affect vitamin K absorption but are not specific for VKDB.
Choice D is wrong because hypoglycemia, lethargy, or jitteriness are signs of low blood sugar or neonatal abstinence syndrome, which are not related to VKDB.