Exam 25: The High Risk Newborn

Car seat safety is an essential part of discharge planning, and infants younger than 37 weeks of gestation should have a period of observation in an appropriate car seat to monitor for possible apnea, bradycardia, and decreased SaO?. The nurse who is about to perform a car seat evaluation on a late-preterm infant will perform the sequence of the test in which order? -Step 6

To provide optimal care of infants born to mothers who are substance abusers,nurses should be aware that:

Human immunodeficiency virus (HIV)may be perinatally transmitted:

Necrotizing enterocolitis (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.To develop an optimal plan of care for this infant,the nurse must understand which intervention has the greatest effect on lowering the risk of NEC:

To care adequately for infants at risk for neonatal bacterial infection,nurses should be aware that:

As a result of large body surface in relation to weight,the preterm infant is at high risk for heat loss and cold stress.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.While evaluating the plan that has been implemented,the nurse knows that the infant is experiencing cold stress when he or she exhibits:

The goal of treatment of the infant with phenylketonuria (PKU)is to:

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

HIV may be perinatally transmitted:

A macrosomic infant is born after a difficult forceps-assisted delivery.After stabilization the infant is weighed,and the birth weight is 4550 g (9 pounds,6 ounces).The nurse's most appropriate action is to:

With regard to small for gestational age (SGA)infants and intrauterine growth restrictions (IUGR),nurses should be aware that:

As related to central nervous system injuries that could occur to the infant during labor and birth,nurses should be aware that:

In the assessment of a preterm infant,the nurse notices continued respiratory distress even though oxygen and ventilation have been provided.The nurse should suspect:

A careful review of the literature on the various recreational and illicit drugs reveals that:

With regard to hemolytic diseases of the newborn,nurses should be aware that:

Premature infants who exhibit 5 to 10 seconds of respiratory pauses followed by 10 to 15 seconds of compensatory rapid respiration are:

When assessing the preterm infant the nurse understands that compared with the term infant,the preterm infant has:

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.The nurse caring for the infant after birth should anticipate:

The most important nursing action in preventing neonatal infection is:

Which infant would be more likely to have Rh incompatibility?