Question 1

Bronchopulmonary dysplasia is the toxic response of the lung to _______ therapy.

Accepted Answer

The answer of Bronchopulmonary dysplasia is the toxic response of...

Question 2

The nurse explains that the _____________ ___________ is a tool used to determine the gestational age of a neonate based on appearance and neuromuscular criteria.

Accepted Answer

The answer of The nurse explains that the _____________ ___________...

Question 3

The nurse assesses a preterm infant in the NICU.What signs should be reported to the physician?

Accepted Answer

Paleness,vomiting,and bulging fontanelles can indicate complications in the preterm newborn.Transparent skin and superficial scalp veins are expected findings.

Question 4

The nurse is aware that the preterm infant has an increased tendency to bleed due to deficient levels of ________.

Accepted Answer

The answer of The nurse is aware that the preterm...

Question 5

What term describes the age of a neonate that is based on the actual time in utero?

Accepted Answer

The gestational age is the age based on the actual time in the uterus.

Question 6

Why is the postterm neonate at risk for cold stress?

Accepted Answer

Fat stores have been used in utero for nourishment during the extended pregnancy.

Question 7

The nurse is caring for an infant born at 43 weeks.What would the physical assessment reveal?

Accepted Answer

Loss of vernix caseosa leaves the skin dry,causing peeling.

Question 8

The nurse clarifies that a fetus has enough surfactant to breathe on its own at the age of _____ weeks.

Accepted Answer

The answer of The nurse clarifies that a fetus has...

Question 9

An infant receives surfactant via endotracheal (ET)tube at birth for symptoms of respiratory distress syndrome (RDS).When will the nurse anticipate seeing improvement of lung function?

Accepted Answer

In preterm newborns,surfactant can be administered via ET tube at birth or when symptoms of RDS occur,with improvement of lung function seen within 72 hours.

Question 10

The nurse providing stimulation to a preterm infant should schedule stimulation not to conflict with __________.

Accepted Answer

The answer of The nurse providing stimulation to a preterm...

Question 11

The nurse is caring for a woman who gave birth to a preterm infant.The nurse is aware that what are possible causes of preterm delivery?

Accepted Answer

The predisposing causes of preterm birth are numerous; in many instances the cause is unknown.Prematurity may be caused by multiple births,illness of the mother (e.g.,malnutrition,heart disease,diabetes mellitus,or infectious conditions),or the hazards of pregnancy itself,such as gestational hypertension,placental abnormalities that may result in premature rupture of the membranes,placenta previa (in which the placenta lies over the cervix instead of higher in the uterus),and premature separation of the placenta.Studies also indicate the relationships between prematurity and poverty,smoking,alcohol consumption,and abuse of cocaine and other drugs.Hyperemesis gravidarum and chloasma are not risk factors for preterm birth.

Question 12

How often will the nurse caring for a preterm infant in an incubator record the temperature of the infant and the incubator?

Accepted Answer

The temperature of the incubator is adjusted to a level that will maintain an optimal body temperature in the infant.Smaller infants may require higher incubator temperatures.The nurse records the temperature of the infant and the incubator every 2 hours.The infant's temperature is monitored with a heat-sensitive probe that is taped to the abdomen.

Question 13

Assessment of altered skin integrity in the preterm infant is made difficult because of the immature immune system that cannot produce a(n)__________ reaction.

Accepted Answer

The answer of Assessment of altered skin integrity in the...

Question 14

The nurse encourages the anxious mother of a preterm infant to consider the warming technique of holding the infant between her breasts with skin-to-skin contact under a blanket.This technique is the __________ care method.

Accepted Answer

The answer of The nurse encourages the anxious mother of...

Question 15

When assessing a neonate born at 38 weeks of gestation,the nurse records his weight as 8 pounds,10 ounces.What will the nurse consider this newborn?

Accepted Answer

Term infants over 4000 g (8.8 lb)may be classified as large for gestational age (LGA).For the preterm infant this is less than 38 weeks,for the term infant it is 38 to 42 weeks,and for the postterm infant it is beyond 42 weeks.A late preterm infant,also known as a near-term infant,is born between 34 and 36 weeks.

Question 16

The nurse knows that a postterm infant may experience which potential problems?

Accepted Answer

The postterm infant should be assessed closely for indication of asphyxia,seizures,and polycythemia.

Quiz 13: Preterm and Postterm Newborns