Obstetrics & Gynecology>>>>>The Puerperium, Lactation, and Immediate Care of the Newborn
Question 28#

You are asked to assist in the well-born nursery with neonatal care.

Which of the following is a part of routine care in a healthy infant?

A. Administration of ceftriaxone cream to the eyes for prophylaxis for gonorrhea and chlamydia
B. Administration of vitamin A to prevent bleeding problems
C. Administration of hepatitis B vaccination for routine immunization
D. Cool-water bath to remove vernix
E. Placement of a computer chip in left buttock for identification purposes

Correct Answer is C

Comment:

The Centers for Disease Control recommends that all newborns receive routine immunization against hepatitis B prior to being discharged from the hospital. Only if the mother is positive for hepatitis B surface antigen should the neonate also be passively immunized with hepatitis B immune globulin. According to the Centers for Disease Control, all newborns should receive eye prophylaxis against chlamydia and gonorrhea with either silver nitrate, erythromycin ophthalmic ointment, or tetracycline ophthalmic ointment. Vitamin K is routinely administered to prevent hemorrhagic disease of the newborn; breast milk contains only very small amounts of vitamin K. Since the temperature of newborns drops very rapidly after birth, newly delivered infants must be monitored in a warm crib. All neonates must be accurately identified via identification bands.