When preparing to administer a hepatitis B vaccine to a newborn, the nurse should:
1. obtain a syringe with a 25-gauge, 5/8-inch needle.
2. confirm that the newborn's mother has been infected with the hepatitis B virus.
3. assess the dorsogluteal muscle as the preferred site for injection.
4. confirm that the newborn is at least 24 hours old.
1
1. Correct. Administration of the hepatitis B vaccine should be given with a 25-gauge, 5/8-inch needle.
2. Incorrect. Hepatitis B vaccination is recommended for all infants. If the infant is born to an infected mother who is a chronic carrier, hepatitis vaccine and hepatitis B immune globulin should be administered within 12 hours of birth.
3. Incorrect. Hepatitis B vaccine should be given in the vastus lateralis muscle.
4. Incorrect. Hepatitis B vaccine can be given at birth. If the mother is a hepatitis B carrier, the vaccine should be given to the infant within 12 hours of birth.
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