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    ATI RN VATI Maternal Newborn Proctored Exam

    A nurse is planning to obtain a blood specimen from a newborn via a heel stick.Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A rationaleCooling the newborn’s heel would constrict blood vessels and make it more difficult to obtain a blood sample. Warming the heel is the preferred method to increase blood flow.Choice B rationalePuncturing the center of the newborn’s heel is not recommended as it could cause more pain and potential injury to the bone. The puncture should be done on the outer edges of the heel.Choice C rationaleCleansing the puncture site with alcohol gauze is essential to reduce the risk of infection and ensure that the sample is not contaminated.Choice D rationaleAdministering vitamin K before each blood draw is unnecessary. Vitamin K is typically given as a one-time dose to prevent bleeding issues, not related to blood draw procedures.

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