Exam 34: Nursing Care of the High Risk Newborn

During the assessment of a preterm infant,the nurse notices continued respiratory distress even though oxygen and ventilation have been provided.In this situation,which condition should the nurse suspect?

By understanding the four mechanisms of heat transfer (convection,conduction,radiation,and evaporation),the nurse can create an environment for the infant that prevents temperature instability.Which significant symptoms will the infant display when experiencing cold stress?

The corrected age of an infant who was born at 25 1/7 weeks and is preparing for discharge 124 days past delivery is ______________.

With regard to an eventual discharge of the high-risk newborn or the transfer of the newborn to a different facility,which information is essential to provide to the parents?

In appraising the growth and development potential of a preterm infant,the nurse should be cognizant of the information that is best described in which statement?

A newborn was admitted to the neonatal intensive care unit (NICU)after being delivered at 29 weeks of gestation to a 28-year-old multiparous,married,Caucasian woman whose pregnancy was uncomplicated until the premature rupture of membranes and preterm birth.The newborn's parents arrive for their first visit after the birth.The parents walk toward the bedside but remain approximately 5 feet away from the bed.What is the nurse's most appropriate action?

Because of the premature infant's decreased immune functioning,what nursing diagnosis should the nurse include in a plan of care for a premature infant?

An infant is to receive gastrostomy feedings.Which intervention should the nurse institute to prevent bloating,gastrointestinal reflux into the esophagus,vomiting,and respiratory compromise?

On day 3 of life,a newborn continues to require 100% oxygen by nasal cannula.The parents ask if they may hold their infant during his next gavage feeding.Considering that this newborn is physiologically stable,what response should the nurse provide?

Which condition might premature infants who exhibit 5 to 10 seconds of respiratory pauses,followed by 10 to 15 seconds of compensatory rapid respiration,be experiencing?

With regard to infants who are diagnosed with both small gestational age (SGA)and intrauterine growth restriction (IUGR),the nurse should be aware of which information?

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

For clinical purposes,the most accurate definition of preterm and postterm infants is defined as what?

When evaluating the preterm infant,the nurse understands that compared with the term infant,what information is important for the nurse to understand?

Infants born between 34 0/7 and 36 6/7 weeks of gestation are called late-preterm infants because they have many needs similar to those of preterm infants.Because they are more stable than early-preterm infants,they may receive care that is similar to that of a full-term baby.These infants are at increased risk for which conditions? (Select all that apply. )

Necrotizing enterocolitis (NEC)is an inflammatory disease of the gastrointestinal mucosa.The signs of NEC are nonspecific.What are generalized signs and symptoms of this condition?

An infant at 36 weeks of gestation has increasing respirations (80 to 100 breaths per minute with significant substernal retractions).The infant is given oxygen by continuous nasal positive airway pressure (CPAP).What level of partial pressure of arterial oxygen (PaO₂)indicates hypoxia?

An infant is being discharged from the NICU after 70 days of hospitalization.The infant was born at 30 weeks of gestation with several conditions associated with prematurity,including RDS,mild bronchopulmonary dysplasia (BPD),and retinopathy of prematurity (ROP),requiring surgical treatment.During discharge teaching,the infant's mother asks the nurse if her baby will meet developmental milestones on time,as did her son who was born at term.What is the nurse's most appropriate response?

When providing an infant with a gavage feeding,which infant assessment should be documented each time?

A nurse practicing in the perinatal setting should promote kangaroo care regardless of an infant's gestational age.Which statement regarding this intervention is most appropriate?