Exam 29: High-Risk Newborn: Complications Associated with Gestational Age and Development

An infant delivered preterm at 28 weeks' gestation weighs 1200 g. Based on this information, the infant is designated as:

Which nursing action is especially important for an SGA newborn?

Following the vaginal birth of a macrosomic infant, the nurse should assess the infant for:

Which preterm infant should receive gavage feedings instead of bottle feedings?

Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to avoid this problem?

A nurse is observing a 38-week gestation newborn in the nursery. Data reveals periods of apnea lasting approximately 10 seconds followed by a period of rapid respirations. The infant's color and heart rate remain unchanged. The nurse suspects that the infant:

Decreased surfactant production in the preterm lung is a problem because:

Which nursing diagnosis would be considered a priority for a newborn infant who is receiving phototherapy in an isolette?

A preterm infant is on a respirator, with intravenous lines and much equipment. When the parents come to visit for the first time, which is an important response by the nurse?

Because late preterm infants are more stable than early preterm infants, they may receive care that is much like that of a full-term baby. The mother-baby or nursery nurse knows that these infants are at increased risk for which of the following? (Select all that apply.)

An infant presents with lethargy in the newborn nursery on the second day of life. On further examination, vital signs are stable but muscle tone is slightly decreased, with sluggish reflexes noted. Other physical characteristics are noted as being normal. Lab tests reveal a decreased hematocrit and increased blood sugar. The nurse suspects that the infant may be exhibiting signs and symptoms of:

Which is true about newborns classified as small for gestational age (SGA)?

Which data should alert the nurse caring for an SGA infant that additional calories may be needed?

A newborn assessment finding that would support the nursing diagnosis of postmaturity would be:

Following a traumatic birth of a 10-pound infant, the nurse should assess:

In caring for the post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n):

Which statement is most true about large-for-gestational age (LGA) infants?

In caring for the preterm infant, which complication is thought to be a result of high arterial blood oxygen level?

A characteristic of a post-term infant who weighs 7 lb, 12 oz, and who lost weight in utero, is:

To determine a preterm infant's readiness for nipple feeding, the nurse should assess the: