Exam 34: Nursing Care of the High Risk Newborn

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?

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?

NEC is an acute inflammatory disease of the gastrointestinal mucosa that can progress to perforation of the bowel.Approximately 2% to 5% of premature infants succumb to this fatal disease.Care is supportive; however,known interventions may decrease the risk of NEC.Which intervention has the greatest effect on lowering the risk of NEC?

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

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

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?

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

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?

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

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

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?

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?

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).

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?

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?

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 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?

A premature infant never seems to sleep longer than an hour at a time.Each time a light is turned on,an incubator closes,or people talk near her crib,she wakes up and inconsolably cries until held.What is the correct nursing diagnosis beginning with "ineffective coping,related to"?

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

Which clinical findings would alert the nurse that the neonate is expressing pain?