Deck 13: Prematurity and Newborn Complications

Question 1

Lung maturity of a newborn can be determined by assessing

A) Oxygen saturation levels
B) Phosphatidylglycerol (PG) levels
C) Lecithin-to-sphingomyelin (L/S) ratio
D) Lecithin-to-sphingomyelin (L/S) ratio and phosphatidylglycerol (PG) levels

Answer 1

Lecithin-to-sphingomyelin (L/S) ratio and phosphatidylglycerol (PG) levels

Question 2

Premature newborns are more at risk than newborns that are full term for developing which respiratory condition?

A) Respiratory distress syndrome (RDS)
B) Meconium aspiration syndrome (MAS)
C) Transient tachypnea of the newborn (TTN)
D) Persistent pulmonary hypertension in the newborn (PPHN)

Answer 2

Respiratory distress syndrome (RDS)

Question 3

Premature newborns are at higher risk for temperature instability than newborns that are full term due to their

A) Excess brown adipose tissue
B) Thinner skin
C) Decreased body surface area
D) Increased number of erector papillae

Answer 3

Thinner skin

Question 4

The objective of the neonatal intensive care unit (NICU) is to

A) Simulate an intrauterine environment
B) Prevent infection in the newborn
C) Reduce pain in the newborn
D) Provide a stimulating environment

Question 5

The body system with the most commonly observed complications in a premature newborn is the

A) Cardiac
B) Immune
C) Musculoskeletal
D) Respiratory

Question 6

At delivery, appropriate care for a newborn is determined by

A) Gestational age and head circumference
B) Gestational age and weight
C) Head circumference and weight
D) Length and weight

Question 7

A premature female newborn is delivered vaginally without the use of any instruments, had a low birth weight, and is currently breastfeeding. Which of these factors increases the newborn's risk for developing an infection?

A) Vaginal delivery
B) Sex of the newborn
C) Low birth weight
D) Breastfeeding

Question 8

Which organism causes both early-onset and late-onset sepsis infections?

A) Candida species
B) Malassezia furfur
C) Neisseria meningitidis
D) Escherichia coli

Question 9

Which symptom is a neurological change associated with newborn infections?

A) Bradycardia
B) Purpura
C) Irritability
D) Pallor

Question 10

The Apgar score of a newborn with a weak cry, heart rate of 98 bpm, irregular respirations, pink body with blue extremities, and full flexion with active movement would be

A) 4
B) 5
C) 6
D) 7

Question 11

What areas of the body should the nurse use to assess the color portion of the Apgar score in a newborn with darker skin?

A) The chest and extremities
B) The chest and lips
C) The palms of the hands and roof of the mouth
D) The palms of the hands and lips

Question 12

Family-centered care of a newborn in the NICU includes requiring family members to learn how to do which of the following? Select all that apply.

A) Start an IV
B) Perform CPR
C) Swaddle the newborn
D) Provide skin care

Question 13

Which class of medication that may be administered to a premature newborn should be withdrawn slowly to prevent complications?

A) Methylxanthines
B) Macrolides
C) Sterile nonpyrogenic pulmonary surfactants
D) Fat-soluble vitamins

Question 14

Vitamin K is administered to newborns within 1 to 2 hours after birth via which route?

A) Oral
B) Intravenous
C) Intramuscular
D) Transdermal

Question 15

To maintain an adequate nutrition status, a newborn needs to be fed (refer to Case Study 3: Newborn Nutrition)

A) Every 1-2 hours
B) Every 2-4 hours
C) Every 3-5 hours
D) Every 4-6 hours