| Course | NU143CL Maternal Infant Nursing Clinical |
|---|---|
| Unit | Unit 9 |
| Paper type | Post-conference post |
| Length | About 460 words, 2 pages double-spaced |
| Format | APA 7 discussion post |
| School | Purdue University Global |
| Program | BSN (prelicensure) |
| Updated | October 2026 |
Free sample paper for NU143CL Unit 9
Parents Who Said No to the Vitamin K Shot: A Post-Conference Post on a Composite Refusal at the Bassinet, What the Nurse Explained, What the Parents Chose and the Question It Left for Our Teaching
NU143CL · Unit 9 Post-Conference Post
Posted by [Student Name]
The family and staff are composite; the post describes the conversation without identifying details, and the parents' informed decision was documented by the nurse and provider.
What Happened
On Thursday I was with my nurse when the parents of a composite girl, born at 39 weeks after an uncomplicated birth, declined the vitamin K injection usually given in the first hours. The mother said she did not want her baby stuck with a needle on her first day, and her partner said he had read online that the shot contained harmful additives and was unnecessary for a healthy baby.
My nurse did not argue. She asked what they had read and what worried them most. Then she explained in plain terms that newborns are born with very low vitamin K, which the body needs to make clotting factors, and that breast milk contains little of it. Without it, a small number of babies develop bleeding that can be sudden and serious, including bleeding in the brain, sometimes weeks after birth in babies who seemed healthy. A single injection at birth prevents most cases, which is why it is recommended for all newborns (Committee on Fetus and Newborn, 2003). She said the injection is given quickly in the thigh, and that holding the baby skin-to-skin or breastfeeding during it can comfort her.
My nurse treated the refusal as the start of a conversation, not the end of one, and she asked what they feared before she explained anything.
The parents thanked her and still declined. The provider spoke with them as well, and their informed refusal was documented, including what they had been told. My nurse then taught them the signs to watch for: unexplained bruising, bleeding from the cord or nose, blood in stools or vomit, unusual sleepiness or poor feeding, and to seek care immediately if any appeared (Perry et al., 2022).
What I Took From It
I learned that respecting a decision and making sure it is informed can happen in the same conversation. Asking what worried them made the explanation fit their actual concern. Teaching warning signs after the refusal mattered, because the risk did not disappear when they declined.
My Question for the Group
Has anyone's site offered oral vitamin K for families who refuse the injection, and how did they explain that it is less reliable? I am also curious how your units follow up with families who decline, since this bleeding can appear after discharge.
References
Committee on Fetus and Newborn. (2003). Controversies concerning vitamin K and the newborn. Pediatrics, 112(1), 191-192. https://doi.org/10.1542/peds.112.1.191
Perry, S. E., Hockenberry, M. J., Cashion, K., Alden, K. R., Olshansky, E., & Lowdermilk, D. L. (2022). Maternal child nursing care (7th ed.). Elsevier.
What the NU143CL Unit 9 assignment asks for
Unit 9 often brings a difficult case to the post-conference board, and a family's refusal of a routine newborn treatment is a common example. Prompts usually want what happened, how staff responded, what the student learned and a question for the group, in a short post. Instructors look for respectful handling of the family's decision, accurate information about the treatment and its purpose, and recognition that an informed refusal still requires documentation and teaching. A strong post shows how listening first changes the conversation, avoids judging the parents, and connects the experience to how the student will handle similar moments. Identifying details stay out of the post entirely. Keep identifying details out.
How this NU143CL Unit 9 example is built
The post opens with the refusal and the parents' two concerns. It describes the nurse asking what they had read and what worried them, then explaining low vitamin K at birth, the risk of serious bleeding weeks later and why one injection is recommended, citing the pediatric committee statement, with comfort measures offered. The highlighted line notes that the refusal began a conversation. The parents still declined; the provider spoke with them, and the refusal was documented with what they were told, followed by teaching on warning signs. A short section states what the student learned, and the question asks about oral vitamin K and follow-up after discharge. The post stays brief.
Reading the NU143CL Unit 9 grading rubric
Post-conference posts in NU 143CL are scored on respect for patient autonomy, accuracy of information, completeness of the nursing response and contribution to discussion. Respect earns credit when the family's concerns are heard and their decision honored without judgment. Accuracy covers why newborns need vitamin K and what deficiency bleeding is, with a source in APA 7. Completeness rewards documentation of the informed refusal and teaching of warning signs, since the risk remains. The closing question should be one classmates can answer from what their own units do. Showing how asking first shaped the explanation often demonstrates the communication skill the post is meant to highlight. Brevity matters too.
NU143CL Unit 9 help: mistakes that cost points
Posts about refusals sometimes describe the parents as uninformed or difficult, which undermines the respect the case requires. Others report the refusal without explaining what vitamin K prevents, leaving the reader unsure why it matters. Some stop at documentation and forget teaching, though warning signs are the family's main protection after declining. Many questions for the group are rhetorical. Describe the concern in the parents' terms, explain the purpose accurately, show how the nurse listened before explaining, document the informed decision, teach the warning signs and ask classmates something they can answer from their own units. Keep the parents' words in the post. Avoid any label that judges them.
Get an NU143CL Unit 9 example written to your instructions
Post-conference topics differ by group: a feeding choice, a request to leave before 24 hours, a visitor conflict, a declined test or treatment. Bring the de-identified situation plus the instructor's directions for the post and replies. The sample presents it for discussion with questions classmates can take up. First custom sample free; 24-48h. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
More NU143CL papers and BSN samples
- NU143CL Unit 1: Discussion Board Post
- NU143CL Unit 2: Observation Analysis
- NU143CL Unit 3: Postpartum Assessment Note
- NU143CL Unit 4: Newborn Assessment Note
- NU143CL Unit 5: Clinical Journal
- NU143CL Unit 6: Teaching Write-Up
- NU143CL Unit 7: Care Plan
- NU143CL Unit 8: Case Study Analysis
- NU143CL Unit 10: Final Rotation Reflection
- NU143 Unit 9: Concept Map
- NU142CL Unit 9: Post-Conference Post
- NU142 Unit 9: Concept Map
- NU141CL Unit 9: Post-Conference Post
NU143CL Unit 9 questions, answered
Where can I find a free NU143CL Unit 9 sample paper?
This page holds the full NU143CL Unit 9 post-conference post on a vitamin K refusal, with the conversation, documentation, warning signs, what the student learned and an open question, with two references. A hard conversation from your own rotation can be written up the same way.
Why do newborns receive vitamin K?
Newborns have very low vitamin K, which the body needs to make clotting factors, and breast milk contains little. One injection at birth prevents most cases of vitamin K deficiency bleeding.
What is vitamin K deficiency bleeding?
Bleeding caused by too little vitamin K, which can be sudden and serious, including bleeding in the brain, and can appear weeks after birth in babies who seemed healthy.
What should happen when parents decline vitamin K?
The nurse and provider listen to their concerns, explain the purpose and risk, document the informed refusal including what was said, and teach the warning signs of bleeding.
What warning signs are taught after a vitamin K refusal in NU143CL Unit 9?
Unexplained bruising, bleeding from the cord or nose, blood in stools or vomit, unusual sleepiness or poor feeding, with instructions to seek care immediately.