Chapter 13: Preterm and Postterm Newborns
MULTIPLE CHOICE
1.The nurse is assessing a preterm infant. To what does the infants level of maturation refer?
a.Actual time the fetus remained in the uterus
b.Age on the D
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Chapter 13: Preterm and Postterm Newborns
MULTIPLE CHOICE
1.The nurse is assessing a preterm infant. To what does the infants level of maturation refer?
a.Actual time the fetus remained in the uterus
b.Age on the Dubowitz scoring system
c.Infants weight as compared to the gestational age
d.Ability of the organs to function outside of the uterus
ANS: D
Level of maturation refers to how well developed the infant is at birth and the ability of the organs to function outside of the uterus.
DIF: Cognitive Level: Knowledge REF: Page 312
TOP: Preterm Infant KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2.A preterm infant has a yellow skin color and a rising bilirubin level. The nurse knows that this infant is at risk for what?
a.Skin breakdown
b.Renal failure
c.Brain damage
d.Heart failure
ANS: C
The higher the bilirubin level and the deeper the jaundice, the greater is the risk for neurological damage.
DIF: Cognitive Level: Comprehension REF: Page 319
TOP: Jaundice KEY: Nursing Process Step: DNaUtaRCSoINlleGcTtiBo.nCOM
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3.Why does a 4-day-old infant born at 33 weeks of gestation possibly need to be fed by gavage during the first few days of life?
a.Weak or absent sucking or swallowing reflex
b.Inability to digest food properly
c.Refusal to take formula by mouth
d.Need for a larger quantity of formula at each feeding
ANS: A
When the preterm infants sucking and swallowing reflexes are immature, gavage feedings can be used to promote nutrition.
DIF: Cognitive Level: Comprehension REF: Page 320
TOP: Preterm InfantNutrition KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4.What deficiency causes a preterm infant respiratory distress syndrome?
a.Protein
b.Estrogen
c.Hyaline
d.Surfactant
ANS: D
The production of surfactant, necessary for the absorption of oxygen by the lungs, is deficient in the preterm infant.
DIF: Cognitive Level: Knowledge REF: Page 314
TOP: Respiratory Distress Syndrome KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5.How will the nurse safely ensure tube placement when preparing to initiate a gavage feeding?
a.Check tube placement by injecting air into the stomach.
b.Weigh the infant before the feeding.
c.Aspirate stomach contents.
d.Check serum glucose level.
ANS: C
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