Question 1

The nurse caring for an infant born at 36 weeks of gestation assesses tremors and a weak cry.The nurse is aware that these are symptoms of:

Accepted Answer

A)  respiratory distress syndrome. 
B)  hypoglycemia. 
C)  necrotizing enterocolitis. 
D)  renal failure. 
A)  respiratory distress syndrome. 
B)  hypoglycemia. 
C)  necrotizing enterocolitis. 
D)  renal failure.

Question 2

When a preterm infant who is being gavage fed has a bloody stool,the nurse should:

Accepted Answer

A)  assess for abdominal distention. 
B)  decrease the amount of the next feeding. 
C)  institute enteric precautions. 
D)  get a culture of the next stool. 
A)  assess for abdominal distention. 
B)  decrease the amount of the next feeding. 
C)  institute enteric precautions. 
D)  get a culture of the next stool.

Question 3

The nurse explains that the age of a neonate that is based on the actual time in utero is the _____ age.

Accepted Answer

A)  maturational 
B)  gestational 
C)  neurological 
D)  chronological 
A)  maturational 
B)  gestational 
C)  neurological 
D)  chronological

Question 4

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

Ballard Score
The Ballard Scor

Question 5

The nurse's safest action to ensure tube placement when preparing to initiate a gavage feeding is to:

Accepted Answer

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. 
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.

Question 6

When assessing a preterm infant,the nurse observes nasal flaring,sternal retractions,and expiratory grunting.These findings are indicative of:

Accepted Answer

A)  respiratory distress syndrome. 
B)  postmaturity syndrome. 
C)  apneic episode. 
D)  cold stress. 
A)  respiratory distress syndrome. 
B)  postmaturity syndrome. 
C)  apneic episode. 
D)  cold stress.

Question 7

The nurse clarifies that a preterm infant born at 34 weeks of gestation is placed in an incubator because:

Accepted Answer

A)  the infant has a small body surface-to-weight ratio. 
B)  heat increases the flow of oxygen to the extremities. 
C)  the infant's temperature control mechanism is immature. 
D)  heat within the incubator facilitates drainage of mucus. 
A)  the infant has a small body surface-to-weight ratio. 
B)  heat increases the flow of oxygen to the extremities. 
C)  the infant's temperature control mechanism is immature. 
D)  heat within the incubator facilitates drainage of mucus.

Question 8

The nurse is caring for an infant born at 35 weeks of gestation.A physical characteristic that the nurse might expect this infant to exhibit is:

Accepted Answer

A)  thin, long extremities. 
B)  large genitals for its size. 
C)  minimal vernix caseosa. 
D)  loose, transparent skin. 
A)  thin, long extremities. 
B)  large genitals for its size. 
C)  minimal vernix caseosa. 
D)  loose, transparent skin.

Question 9

The mother of a postterm infant asks the nurse why the infant is being watched so closely.The nurse answers that postterm infants are at risk because:

Accepted Answer

A)  the placenta does not function adequately as it ages. 
B)  infants born postmaturely are generally large. 
C)  delivery of the postterm infant is more difficult. 
D)  there is less amniotic fluid. 
A)  the placenta does not function adequately as it ages. 
B)  infants born postmaturely are generally large. 
C)  delivery of the postterm infant is more difficult. 
D)  there is less amniotic fluid.

Question 10

The nurse explains that the postterm neonate is especially at risk for cold stress due to:

Accepted Answer

A)  inadequate vernix caseosa. 
B)  hypoxia from a deteriorated placenta. 
C)  polycythemia. 
D)  fat stores have been used in utero for nourishment. 
A)  inadequate vernix caseosa. 
B)  hypoxia from a deteriorated placenta. 
C)  polycythemia. 
D)  fat stores have been used in utero for nourishment.

Question 11

The mother of a 4-month-old infant,born prematurely,asks the nurse if her daughter will always be small for her age.An appropriate nursing response would be:

Accepted Answer

A)  "Preterm infants usually remain smaller than term infants throughout childhood. " 
B)  "Your daughter will be the same size as other children by the time she is 1-year-old. " 
C)  "Prematurity is associated with short stature but does not affect weight gain. " 
D)  "It takes about two years for the preterm infant to catch up to a full-term infant. " 
A)  "Preterm infants usually remain smaller than term infants throughout childhood. " 
B)  "Your daughter will be the same size as other children by the time she is 1-year-old. " 
C)  "Prematurity is associated with short stature but does not affect weight gain. " 
D)  "It takes about two years for the preterm infant to catch up to a full-term infant. "

Exam 13: Preterm and Postterm Newborns

The nurse caring for an infant born at 36 weeks of gestation assesses tremors and a weak cry.The nurse is aware that these are symptoms of:

When a preterm infant who is being gavage fed has a bloody stool,the nurse should:

The nurse explains that the age of a neonate that is based on the actual time in utero is the _____ age.

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

The nurse's safest action to ensure tube placement when preparing to initiate a gavage feeding is to:

When assessing a preterm infant,the nurse observes nasal flaring,sternal retractions,and expiratory grunting.These findings are indicative of:

The nurse clarifies that a preterm infant born at 34 weeks of gestation is placed in an incubator because:

The nurse is caring for an infant born at 35 weeks of gestation.A physical characteristic that the nurse might expect this infant to exhibit is:

The mother of a postterm infant asks the nurse why the infant is being watched so closely.The nurse answers that postterm infants are at risk because:

The nurse explains that the postterm neonate is especially at risk for cold stress due to:

The mother of a 4-month-old infant,born prematurely,asks the nurse if her daughter will always be small for her age.An appropriate nursing response would be:

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Cardiovascular Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

The Child with a Communicable Disease

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

Filters

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