Question 1

The nurse is observing a parent holding a preterm infant.The infant is sneezing,yawning,and extending the arms and legs.What action by the nurse is best?

Accepted Answer

A)   Cover the infant with a warmed blanket.
B)   Encourage the parent to do kangaroo care.
C)   Encourage the parent to place the infant back in the warmer
D)   Have the parent fold the infant's arms across the chest.

Question 2

While caring for the postterm infant,the nurse recognizes that the fetus may have passed meconium prior to birth as a result of

Accepted Answer

A)   hypoxia in utero.
B)   NEC.
C)   placental insufficiency.
D)   rapid use of glycogen stores.

Question 3

To maintain optimal thermoregulation for the premature infant,what action by the nurse is most appropriate?

Accepted Answer

A)   Bathe the infant once a day.
B)   Put an undershirt on the infant in the incubator.
C)   Assess the infant's hydration status.
D)   Lightly clothe the infant under the radiant warmer. B

Question 4

Which preterm infant should receive gavage feedings instead of a bottle?

Accepted Answer

A)   Sometimes gags when a feeding tube is inserted
B)   Is unable to coordinate sucking and swallowing
C)   Sucks on a pacifier during gavage feedings
D)   Has an axillary temperature of 98.4° F, an apical pulse of 149 beats/min, and respirations of 54 breaths/min

Question 5

A nurse is caring for a preterm baby who weighs 4.8 pounds.What assessment finding indicates the baby is dehydrated?

Accepted Answer

A)   Urine output of 3.3 mL/hour
B)   Urine specific gravity of 1.001
C)   Low serum sodium
D)   Weight gain of 43 g in one day

Question 6

What is most helpful in preventing premature birth?

Accepted Answer

A)   High socioeconomic status
B)   Adequate prenatal care
C)   Transitional Assistance to Needy Families
D)   Women, Infants, and Children nutritional program

Question 7

A nurse is caring for an SGA newborn.What nursing action is most important?

Accepted Answer

A)   Observe for respiratory distress syndrome.
B)   Observe for and prevent dehydration.
C)   Promote bonding.
D)   Prevent hypoglycemia by early and frequent feedings.

Question 8

A nurse is caring for a preterm infant who has a weak cry and is irritable.What action by the nurse is best?

Accepted Answer

A)   Assess the infant for pain.
B)   Take the infant's temperature.
C)   Obtain a bedside glucose reading.
D)   Reduce stimulation in the environment.

Question 9

Which is true about newborns classified as small for gestational age ( SGA ) ?

Accepted Answer

A)   They weigh less than 2500g.
B)   They are born before 38 weeks of gestation.
C)   Placental malfunction is the only recognized cause of this condition.
D)   They are below the 10th percentile on gestational growth charts.

Question 10

An important nursing factor during the care of the infant in the NICU is assessment for signs of adequate parental attachment.The nurse must observe for signs that bonding is not occurring as expected.These include (Select all that apply.)

Accepted Answer

A)   using positive terms to describe the infant.
B)   showing interest in other infants equal to that of their own.
C)   naming the infant.
D)   decreasing the number and length of visits.
E)   refusing offers to hold and care for the infant.

Question 11

A nurse is assessing an SGA infant with asymmetric intrauterine growth restriction.What assessment finding correlates with this condition?

Accepted Answer

A)   One side of the body appears slightly smaller than the other.
B)   All body parts appear proportionate.
C)   The head seems large compared with the rest of the body.
D)   The extremities are disproportionate to the trunk.

Question 12

A premature infant never seems to sleep longer than an hour at a time.Each time a light is turned on,an incubator closes,or people talk near her crib,she wakes up and cries inconsolably until held.The correct nursing diagnosis is ineffective coping related to

Accepted Answer

A)   severe immaturity.
B)   environmental stress.
C)   physiologic distress.
D)   behavioral responses.

Question 13

With regard to eventual discharge of the high-risk newborn or transfer to a different facility,nurses and families should be aware that

Accepted Answer

A)   infants will stay in the NICU until they are ready to go home.
B)   once discharged to home, the high-risk infant should be treated like any healthy term newborn.
C)   parents of high-risk infants need special support and detailed contact information.
D)   if a high-risk infant and mother need transfer to a specialized regional center, it is better to wait until after birth and the infant is stabilized.

Question 14

Of all the signs seen in infants with respiratory distress syndrome,which sign is especially indicative of the syndrome?

Accepted Answer

A)   Pulse more than 160 beats/min
B)   Circumoral cyanosis
C)   Grunting
D)   Substernal retractions

Question 15

Which statement is true about large for gestational age ( LGA ) infants?

Accepted Answer

A)   They weigh more than 3500g.
B)   They are above the 80th percentile on gestational growth charts.
C)   They are prone to hypoglycemia, polycythemia, and birth injuries.
D)   Postmaturity syndrome and fractured clavicles are the most common complications.

Question 16

Which data should alert the nurse that the neonate is postmature?

Accepted Answer

A)   Cracked, peeling skin
B)   Short, chubby arms and legs
C)   Presence of vernix caseosa
D)   Presence of lanugo

Question 17

Decreased surfactant production in the preterm lung is a problem because surfactant

Accepted Answer

A)   causes increased permeability of the alveoli.
B)   provides transportation for oxygen to enter the blood supply.
C)   keeps the alveoli open during expiration.
D)   dilates the bronchioles, decreasing airway resistance. C

Question 18

In caring for the preterm infant,what complication is thought to be a result of high arterial blood oxygen level?

Accepted Answer

A)   Necrotizing enterocolitis (NE
C)  
B)   Retinopathy of prematurity (ROP) 
C)   Bronchopulmonary dysplasia (BP
D)  
D)   Intraventricular hemorrhage (IVH)  B

Question 19

Which combination of expressing pain could be demonstrated in a neonate?

Accepted Answer

A)   Low-pitched crying, tachycardia, eyelids open wide
B)   Cry face, flaccid limbs, closed mouth
C)   High-pitched, shrill cry, withdrawal, change in heart rate
D)   Cry face, eye squeeze, increase in blood pressure

Question 20

Compared to the term infant,the preterm infant has

Accepted Answer

A)   few blood vessels visible though the skin.
B)   more subcutaneous fat.
C)   well-developed flexor muscles.
D)   greater surface area in proportion to weight.

Exam 29: The High-Risk Newborn: Problems Related to Gestational Age and Development

The nurse is observing a parent holding a preterm infant.The infant is sneezing,yawning,and extending the arms and legs.What action by the nurse is best?

Correct AnswerverifiedShow Answer

While caring for the postterm infant,the nurse recognizes that the fetus may have passed meconium prior to birth as a result of

Correct AnswerverifiedShow Answer

To maintain optimal thermoregulation for the premature infant,what action by the nurse is most appropriate?

Correct AnswerverifiedB

Which preterm infant should receive gavage feedings instead of a bottle?

Correct AnswerverifiedShow Answer

A nurse is caring for a preterm baby who weighs 4.8 pounds.What assessment finding indicates the baby is dehydrated?

Correct AnswerverifiedShow Answer

What is most helpful in preventing premature birth?

Correct AnswerverifiedShow Answer

A nurse is caring for an SGA newborn.What nursing action is most important?

Correct AnswerverifiedShow Answer

A nurse is caring for a preterm infant who has a weak cry and is irritable.What action by the nurse is best?

Correct AnswerverifiedShow Answer

Which is true about newborns classified as small for gestational age ( SGA ) ?

Correct AnswerverifiedShow Answer

An important nursing factor during the care of the infant in the NICU is assessment for signs of adequate parental attachment.The nurse must observe for signs that bonding is not occurring as expected.These include (Select all that apply.)

Correct AnswerverifiedShow Answer

A nurse is assessing an SGA infant with asymmetric intrauterine growth restriction.What assessment finding correlates with this condition?

Correct AnswerverifiedShow Answer

A premature infant never seems to sleep longer than an hour at a time.Each time a light is turned on,an incubator closes,or people talk near her crib,she wakes up and cries inconsolably until held.The correct nursing diagnosis is ineffective coping related to

Correct AnswerverifiedShow Answer

With regard to eventual discharge of the high-risk newborn or transfer to a different facility,nurses and families should be aware that

Correct AnswerverifiedShow Answer

Of all the signs seen in infants with respiratory distress syndrome,which sign is especially indicative of the syndrome?

Correct AnswerverifiedShow Answer

Which statement is true about large for gestational age ( LGA ) infants?

Correct AnswerverifiedShow Answer

Which data should alert the nurse that the neonate is postmature?

Correct AnswerverifiedShow Answer

Decreased surfactant production in the preterm lung is a problem because surfactant

Correct AnswerverifiedC

In caring for the preterm infant,what complication is thought to be a result of high arterial blood oxygen level?

Correct AnswerverifiedB

Which combination of expressing pain could be demonstrated in a neonate?

Correct AnswerverifiedShow Answer

Compared to the term infant,the preterm infant has

Correct AnswerverifiedShow Answer

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B

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C

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B

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