Chapter 13 Preterm and Postterm Newborns - Leifer Maternity and Pediatric Nursing

Chapter 13 Preterm and Postterm Newborns - Leifer Maternity and Pediatric Nursing

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: Data Collection 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