Exam 25: The High Risk Newborn

An infant is being discharged from the neonatal intensive care unit after 70 days of hospitalization.The infant was born at 30 weeks of gestation with several conditions associated with prematurity,including respiratory distress syndrome,mild bronchopulmonary dysplasia,and retinopathy of prematurity requiring surgical treatment.During discharge teaching the infant's mother asks the nurse whether her baby will meet developmental milestones on time,as did her son who was born at term.The nurse's most appropriate response is:

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 3

Providing care for the neonate born to a mother who abuses substances can present a challenge for the health care team.Nursing care for this infant requires a multisystem approach.The first step in the provision of this care is:

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 2

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?

While completing a newborn assessment,the nurse should be aware that the most common birth injury is:

What bacterial infection is definitely decreasing because of effective drug treatment?

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

Many common drugs of abuse cause significant physiologic and behavioral problems in infants who are breastfed by mothers currently using (Select all that apply):

In caring for the mother who has abused (or is abusing)alcohol and for her infant,nurses should be aware that:

As related to the eventual discharge of the high risk newborn or transfer to a different facility,nurses and families should be aware that:

An infant was born 2 hours ago at 37 weeks of gestation and weighing 4.1 kg.The infant appears chubby with a flushed complexion and is very tremulous.The tremors are most likely the result of:

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

Risk factors associated with necrotizing enterocolitis (NEC)include (Select all that apply):

With regard to injuries to the infant's plexus during labor and birth,nurses should be aware that:

The nurse practicing in the perinatal setting should promote kangaroo care regardless of an infant's gestational age.This intervention:

The most common cause of pathologic hyperbilirubinemia is: