Question 1

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

Accepted Answer

A)  Maturational age 
B)  Gestational age 
C)  Neurological age 
D)  Chronological age 
A)  Maturational age 
B)  Gestational age 
C)  Neurological age 
D)  Chronological age

Question 2

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

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 3

What symptoms of cold stress might the nurse recognize in a preterm infant?

Accepted Answer

A)  Tremors and weak cry 
B)  Plasma glucose level below 40 mg/dL 
C)  Warm skin with low core temperature 
D)  Increased respiratory rate and periods of apnea 
A)  Tremors and weak cry 
B)  Plasma glucose level below 40 mg/dL 
C)  Warm skin with low core temperature 
D)  Increased respiratory rate and periods of apnea

Question 4

What would the nurse assess for in a preterm infant receiving an intravenous infusion containing calcium gluconate?

Accepted Answer

A)  Seizures 
B)  Bradycardia 
C)  Dysrhythmias 
D)  Tetany 
A)  Seizures 
B)  Bradycardia 
C)  Dysrhythmias 
D)  Tetany

Question 5

The mother of a postterm infant asks the nurse why the infant is being watched so closely.What is the nurse's most appropriate response?

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 6

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

Accepted Answer

A)  Every hour 
B)  Every 2 hours 
C)  Every 4 hours 
D)  Every 8 hours 
A)  Every hour 
B)  Every 2 hours 
C)  Every 4 hours 
D)  Every 8 hours

Question 7

The nurse in a pediatrician's office is preparing to do a developmental assessment on a 3-month-old infant who was born at 36 weeks.The nurse knows that the infant should be evaluated in what month of achievement to adjust for the preterm birth?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4 
A)  1 
B)  2 
C)  3 
D)  4

Question 8

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

Accepted Answer

oxygen
Bronchopulmon

Question 9

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

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 10

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

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."

Question 11

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

Accepted Answer

A)  Seizures 
B)  Asphyxia 
C)  Paralysis 
D)  Visual defects 
E)  Polycythemia 
A)  Seizures 
B)  Asphyxia 
C)  Paralysis 
D)  Visual defects 
E)  Polycythemia

Question 12

The apnea monitor indicates that a preterm infant is having an apneic episode.What is the most appropriate nursing action in this situation?

Accepted Answer

A)  Administer oxygen via a nasal cannula. 
B)  Gently rub the infant's feet or back. 
C)  Ventilate with an Ambu bag. 
D)  Perform nasopharyngeal suctioning. 
A)  Administer oxygen via a nasal cannula. 
B)  Gently rub the infant's feet or back. 
C)  Ventilate with an Ambu bag. 
D)  Perform nasopharyngeal suctioning.

Question 13

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

kangaroo
The kangaroo care method is whe

Question 14

A preterm infant has a yellow skin color and a rising bilirubin level.The nurse knows that this infant is at risk for what?

Accepted Answer

A)  Skin breakdown 
B)  Renal failure 
C)  Brain damage 
D)  Heart failure 
A)  Skin breakdown 
B)  Renal failure 
C)  Brain damage 
D)  Heart failure

Question 15

Why is the postterm neonate at risk for cold stress?

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 16

What is the rationale for placing a preterm infant born at 34 weeks of gestation in an incubator?

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.

Exam 13: Preterm and Postterm Newborns

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

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

What symptoms of cold stress might the nurse recognize in a preterm infant?

What would the nurse assess for in a preterm infant receiving an intravenous infusion containing calcium gluconate?

The mother of a postterm infant asks the nurse why the infant is being watched so closely.What is the nurse's most appropriate response?

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

The nurse in a pediatrician's office is preparing to do a developmental assessment on a 3-month-old infant who was born at 36 weeks.The nurse knows that the infant should be evaluated in what month of achievement to adjust for the preterm birth?

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

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

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

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

The apnea monitor indicates that a preterm infant is having an apneic episode.What is the most appropriate nursing action in this situation?

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.

A preterm infant has a yellow skin color and a rising bilirubin level.The nurse knows that this infant is at risk for what?

Why is the postterm neonate at risk for cold stress?

What is the rationale for placing a preterm infant born at 34 weeks of gestation in an incubator?

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 Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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