Exam 25: The High Risk Newborn

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 much like that of a full-term baby.The mother-baby or nursery nurse knows that these babies are at increased risk for (Select all that apply):

A plan of care for an infant experiencing symptoms of drug withdrawal should include:

For clinical purposes,preterm and post-term infants are defined as:

Infants of mothers with diabetes (IDMs)are at higher risk for developing:

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

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 5

The abuse of which of the following substances during pregnancy is the leading cause of cognitive impairment in the United States?

A pregnant woman presents in labor at term,having had no prenatal care.After birth her infant is noted to be small for gestational age with small eyes and a thin upper lip.The infant also is microcephalic.On the basis of her infant's physical findings,this woman should be questioned about her use of which substance during pregnancy?

A primigravida has just delivered a healthy infant girl.The nurse is about to administer erythromycin ointment in the infant's eyes when the mother asks,"What is that medicine for?" The nurse responds:

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 7

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 4

A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours.A cesarean section is performed for failure to progress.The fetal heart rate (FHR)before birth is 180 beats/min with limited variability.At birth the newborn has Apgar scores of 6 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic.On the basis of the maternal history,the cause of this newborn's distress is most likely to be:

An infant with severe meconium aspiration syndrome (MAS)is not responding to conventional treatment.Which highly technical method of treatment may be necessary for an infant who does not respond to conventional treatment?

A premature infant with respiratory distress syndrome receives artificial surfactant.How would the nurse explain surfactant therapy to the parents?

Near the end of the first week of life,an infant who has not been treated for any infection develops a copper-colored,maculopapular rash on the palms and around the mouth and anus.The newborn is showing signs of:

Necrotizing enterocolitis (NEC)is an inflammatory disease of the gastrointestinal mucosa.The signs of NEC are nonspecific.Some generalized signs include:

A newborn was admitted to the neonatal intensive care unit after being delivered at 29 weeks of gestation to a 28-year-old multiparous,married,Caucasian woman whose pregnancy was uncomplicated until 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.The nurse's most appropriate action would be to:

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%.The nurse's most appropriate action would be to:

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 1

During a prenatal examination,the woman reports having two cats at home.The nurse informs her that she should not be cleaning the litter box while she is pregnant.When the woman asks why,the nurse's best response would be: