Question 1

A premature infant with respiratory distress syndrome (RDS)receives artificial surfactant.How does the nurse explain surfactant therapy to the parents?

Accepted Answer

A)  "Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon dioxide." 
B)  "The drug keeps your baby from requiring too much sedation." 
C)  "Surfactant is used to reduce episodes of periodic apnea." 
D)  "Your baby needs this medication to fight a possible respiratory tract infection." 
A)  "Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon dioxide." 
B)  "The drug keeps your baby from requiring too much sedation." 
C)  "Surfactant is used to reduce episodes of periodic apnea." 
D)  "Your baby needs this medication to fight a possible respiratory tract infection."

Question 2

An infant at 26 weeks of gestation arrives intubated from the delivery room.The nurse weighs the infant,places him under the radiant warmer,and attaches him to the ventilator at the prescribed settings.A pulse oximeter and cardiorespiratory monitor are placed.The pulse oximeter is recording oxygen saturations of 80%.The prescribed saturations are 92%.What is the nurse's most appropriate action at this time?

Accepted Answer

A)  Listening to breath sounds,and ensuring the patency of the endotracheal tube,increasing oxygen,and notifying a physician 
B)  Continuing to observe and making no changes until the saturations are 75% 
C)  Continuing with the admission process to ensure that a thorough assessment is completed 
D)  Notifying the parents that their infant is not doing well 
A)  Listening to breath sounds,and ensuring the patency of the endotracheal tube,increasing oxygen,and notifying a physician 
B)  Continuing to observe and making no changes until the saturations are 75% 
C)  Continuing with the admission process to ensure that a thorough assessment is completed 
D)  Notifying the parents that their infant is not doing well

Question 3

Which risk factors are associated with necrotizing enterocolitis (NEC)? (Select all that apply. )

Accepted Answer

A)  Polycythemia 
B)  Anemia 
C)  Congenital heart disease 
D)  Bronchopulmonary dysphasia 
E)  Retinopathy 
A)  Polycythemia 
B)  Anemia 
C)  Congenital heart disease 
D)  Bronchopulmonary dysphasia 
E)  Retinopathy

Question 4

A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates.A nonstress test (NST)in the obstetrician's office revealed a nonreactive tracing.On artificial rupture of membranes,thick meconium-stained fluid was noted.What should the nurse caring for the infant after birth anticipate?

Accepted Answer

A)  Meconium aspiration,hypoglycemia,and dry,cracked skin 
B)  Excessive vernix caseosa covering the skin,lethargy,and RDS 
C)  Golden yellow to green-stained skin and nails,absence of scalp hair,and an increased amount of subcutaneous fat 
D)  Hyperglycemia,hyperthermia,and an alert,wide-eyed appearance 
A)  Meconium aspiration,hypoglycemia,and dry,cracked skin 
B)  Excessive vernix caseosa covering the skin,lethargy,and RDS 
C)  Golden yellow to green-stained skin and nails,absence of scalp hair,and an increased amount of subcutaneous fat 
D)  Hyperglycemia,hyperthermia,and an alert,wide-eyed appearance

A premature infant with respiratory distress syndrome (RDS)receives artificial surfactant.How does the nurse explain surfactant therapy to the parents?

Which risk factors are associated with necrotizing enterocolitis (NEC)? (Select all that apply. )

21st Century Maternity and Womens Health Nursing

Community Care: the Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, bereavement, and Grief

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Exam 34: Nursing Care of the High Risk Newborn

A premature infant with respiratory distress syndrome (RDS)receives artificial surfactant.How does the nurse explain surfactant therapy to the parents?

Which risk factors are associated with necrotizing enterocolitis (NEC)? (Select all that apply. )

21st Century Maternity and Womens Health Nursing

Community Care: the Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, bereavement, and Grief

Filters