Question 1

The nurse is assessing a preterm newborn's fluid and hydration status. Which of the following would alert the nurse to possible overhydration?

Accepted Answer

Bulging fontanels in a preterm newborn can indicate overhydration, as it suggests an increase in intracranial pressure, which can be a result of fluid overload.

Question 2

The nurse is assessing a preterm newborn who is in the neonatal intensive care unit (NICU. for signs and symptoms of overstimulation. Which of the following would the nurse be least likely to assess?

Accepted Answer

The answer of The nurse is assessing a preterm newborn...

Question 3

A group of nursing students are reviewing the literature in preparation for a class presentation on newborn pain prevention and management. Which of the following would the students be most likely to find about this topic?

Accepted Answer

Newborn pain is often under-recognized and can be misinterpreted as irritability or agitation, leading to inadequate pain management.

Question 4

A nurse is developing a plan of care for a preterm newborn to address the nursing diagnosis of risk for delayed development. Which of the following would the nurse include? (Select all that apply.)

Accepted Answer

Clustering care helps in minimizing disturbances, allowing the preterm newborn to rest more, which is crucial for development. Kangaroo care, or skin-to-skin contact, promotes bonding, stabilizes the infant's heart rate, and improves oxygen saturation levels, all of which can contribute to better developmental outcomes. Nonnutritive sucking has been shown to have a calming effect on preterm infants, can improve oral skills for feeding, and is associated with better neurodevelopmental outcomes. Positioning a newborn in extension is not recommended as it can lead to developmental dysplasia of the hip and does not support the natural fetal position. Loosely covering the newborn with blankets does not directly address the risk for delayed development and can pose a risk of overheating or sudden infant death syndrome (SIDS).

Question 5

A nurse is assisting the anxious parents of a preterm newborn to cope with the situation. Which statement by the nurse would be least appropriate?

Accepted Answer

Option D is the least appropriate because it dismisses the parents' past experiences and feelings, which can be an important part of coping and understanding their current situation. Effective communication involves acknowledging and building on past experiences, not disregarding them.

Quiz 23: Nursing Care of the Newborn With Special Needs

The nurse is assessing a preterm newborn's fluid and hydration status. Which of the following would alert the nurse to possible overhydration?

The nurse is assessing a preterm newborn who is in the neonatal intensive care unit (NICU. for signs and symptoms of overstimulation. Which of the following would the nurse be least likely to assess?

A group of nursing students are reviewing the literature in preparation for a class presentation on newborn pain prevention and management. Which of the following would the students be most likely to find about this topic?

A nurse is developing a plan of care for a preterm newborn to address the nursing diagnosis of risk for delayed development. Which of the following would the nurse include? (Select all that apply.)

A nurse is assisting the anxious parents of a preterm newborn to cope with the situation. Which statement by the nurse would be least appropriate?