Administration of medications after birth is the topic of discussion during a prenatal education class. Which statement indicates to the nurse that the pregnant patient understands the primary indication for the administration of vitamin K?

Question

a. "The nurse will draw blood to determine if vitamin K is needed."
b. "Vitamin K prevents the possibility of bleeding problems in my baby."
c. "My baby will receive a shot when the nurse administers the vitamin K."
d. "Vitamin K will be administered shortly after birth, generally within the first hour."

Answer 1

ANS: B
This indication is the reason for vitamin K administration. Vitamin K is given to neonates because they cannot synthesize it in the intestines without bacterial flora. This places them at risk for hemorrhagic disease of the newborn (vitamin K deficiency disease). One dose of vitamin K intramuscularly after birth prevents bleeding problems until the infant is able to produce vitamin K in sufficient amounts. Although the injection is usually given within the first hour after birth, it can be delayed until the infant has finished breastfeeding shortly after birth.