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    Hesi lpn exit proctored examQuestion 96
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    Hesi lpn exit proctored exam

    Which action is most important for the practical nurse (PN) to implement to prevent bleeding in the neonate during the first hour after birth?

    Explanation & Rationale

    A. Replace the umbilical cord clamp close to the infant's body: Cord clamping helps prevent umbilical bleeding, but does not address the systemic clotting deficiency common in newborns. B. Provide the first oral fluids using formula: Feeding is important but does not prevent bleeding. C. Administer phytonadione intramuscularly: Vitamin K (phytonadione) is given shortly after birth to prevent hemorrhagic disease of the newborn, as neonates have immature gut flora and cannot synthesize enough vitamin K for clotting. D. Use the axillary method to obtain core body temperature: Temperature monitoring is important but unrelated to bleeding prevention.

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