Question 1

In about 1 week,a stable preterm infant will be discharged.The nurse should teach the parents to place the infant in which position for sleep?

Accepted Answer

A)  Prone 
B)  Supine 
C)  Position of comfort 
D)  Abdomen with head elevated 
A)  Prone 
B)  Supine 
C)  Position of comfort 
D)  Abdomen with head elevated B

Question 2

The health care provider has prescribed surfactant,beractant (Survanta),to be administered to an infant with respiratory distress syndrome (RDS).The nurse understands that the beractant will be administered by which route?

Accepted Answer

A)  Orally 
B)  Intravenously 
C)  Via the ET tube 
D)  Intramuscularly 
A)  Orally 
B)  Intravenously 
C)  Via the ET tube 
D)  Intramuscularly C

Question 3

Which refers to an infant whose rate of intrauterine growth has slowed and whose birth weight falls below the 10th percentile on intrauterine growth charts?

Accepted Answer

A)  Postterm 
B)  Postmature 
C)  Low birth weight 
D)  Small for gestational age 
A)  Postterm 
B)  Postmature 
C)  Low birth weight 
D)  Small for gestational age D

Question 4

The nurse is caring for a preterm infant who is receiving caffeine citrate for treatment of apnea of prematurity.What signs should indicate caffeine toxicity?

Accepted Answer

A)  Bradycardia and hypotension 
B)  Oliguria and sleepiness 
C)  Vomiting and irritability 
D)  Constipation and weight loss 
A)  Bradycardia and hypotension 
B)  Oliguria and sleepiness 
C)  Vomiting and irritability 
D)  Constipation and weight loss

Question 5

What is most descriptive of the signs observed in neonatal sepsis?

Accepted Answer

A)  Seizures 
B)  Sudden hyperthermia 
C)  Decreased urinary output 
D)  Subtle, vague, and nonspecific physical signs 
A)  Seizures 
B)  Sudden hyperthermia 
C)  Decreased urinary output 
D)  Subtle, vague, and nonspecific physical signs

Question 6

While a mother is feeding her high-risk neonate,the nurse observes the neonate having occasional apnea,pallor,and bradycardia.What is the most appropriate nursing action?

Accepted Answer

A)  Let the neonate rest before breastfeeding again. 
B)  Resume gavage feedings until the neonate is asymptomatic. 
C)  Recognize that this may indicate an underlying illness. 
D)  Use a high-flow, pliable nipple because it requires less energy to use. 
A)  Let the neonate rest before breastfeeding again. 
B)  Resume gavage feedings until the neonate is asymptomatic. 
C)  Recognize that this may indicate an underlying illness. 
D)  Use a high-flow, pliable nipple because it requires less energy to use.

Question 7

When caring for a neonate in a radiant warmer,what should the nurse be alert to?

Accepted Answer

A)  Exposure to prolonged cold stress 
B)  Need for Plexiglas shields to protect the infant 
C)  Transepidermal water loss leading to dehydration 
D)  Increased risk of infection from the open environment 
A)  Exposure to prolonged cold stress 
B)  Need for Plexiglas shields to protect the infant 
C)  Transepidermal water loss leading to dehydration 
D)  Increased risk of infection from the open environment

Question 8

The nurse is attending a delivery of a full-term infant with meconium noted in the amniotic fluid.The nurse should understand that what action should be performed in the delivery room?

Accepted Answer

A)  The infant will be suctioned with a DeLee trap suctioning device after delivery of the head while the chest is still compressed in the birth canal. 
B)  The infant's nose will be suctioned at the delivery of the head; subsequent suctioning of the mouth will occur after completion of the delivery. 
C)  The infant will need to take the first breath after delivery of the head and shoulders and will require tracheal suctioning. 
D)  The infant's mouth, nose, and posterior pharynx will be suctioned just after the head is delivered while the chest is still compressed in the birth canal. 
A)  The infant will be suctioned with a DeLee trap suctioning device after delivery of the head while the chest is still compressed in the birth canal. 
B)  The infant's nose will be suctioned at the delivery of the head; subsequent suctioning of the mouth will occur after completion of the delivery. 
C)  The infant will need to take the first breath after delivery of the head and shoulders and will require tracheal suctioning. 
D)  The infant's mouth, nose, and posterior pharynx will be suctioned just after the head is delivered while the chest is still compressed in the birth canal.

Question 9

A preterm infant who is being fed commercial formula by gavage has had an increase in gastric residuals,abdominal distention,and apneic episodes.Which is the most appropriate nursing action?

Accepted Answer

A)  Notify the practitioner. 
B)  Reduce the amount fed by gavage. 
C)  Feed human milk by gavage. 
D)  Feed only a glucose solution until the infant stabilizes. 
A)  Notify the practitioner. 
B)  Reduce the amount fed by gavage. 
C)  Feed human milk by gavage. 
D)  Feed only a glucose solution until the infant stabilizes.

Question 10

Women who smoke during pregnancy are most likely to have infants who are what?

Accepted Answer

A)  Large for gestational age 
B)  Preterm but size appropriate for gestational age 
C)  Growth restricted in weight only 
D)  Growth restricted in weight, length, and chest and head circumference 
A)  Large for gestational age 
B)  Preterm but size appropriate for gestational age 
C)  Growth restricted in weight only 
D)  Growth restricted in weight, length, and chest and head circumference

Question 11

The nurse is caring for a preterm neonate who requires mechanical ventilation for treatment of respiratory distress syndrome.Because of the mechanical ventilation,the nurse should recognize an increased risk of what?

Accepted Answer

A)  Pneumothorax 
B)  Transient tachypnea 
C)  Meconium aspiration 
D)  Retractions and nasal flaring 
A)  Pneumothorax 
B)  Transient tachypnea 
C)  Meconium aspiration 
D)  Retractions and nasal flaring

Question 12

A preterm infant of 33 weeks of gestation is admitted to the neonatal intensive care unit.Approximately 2 hours after birth,the neonate begins having difficulty breathing,with grunting,tachypnea,and nasal flaring.What should the nurse recognize?

Accepted Answer

A)  This is a normal finding. 
B)  Further evaluation is needed. 
C)  Improvement should occur within 24 hours. 
D)  This is not significant unless cyanosis is present. 
A)  This is a normal finding. 
B)  Further evaluation is needed. 
C)  Improvement should occur within 24 hours. 
D)  This is not significant unless cyanosis is present.

Question 13

The neonatal intensive care nurse is planning care for an infant in an incubator.Which interventions should the nurse plan to assure therapeutic visual stimulation for the neonate?

Accepted Answer

A)  Use an incubator cover. 
B)  Keep lights bright in the unit. 
C)  Place a cloth over the infant's face. 
D)  Leave a visual stimulus at the head of the infant's bed. 
A)  Use an incubator cover. 
B)  Keep lights bright in the unit. 
C)  Place a cloth over the infant's face. 
D)  Leave a visual stimulus at the head of the infant's bed.

Question 14

The nurse is positioning a preterm neonate.What are therapeutic positions the nurse should implement?

Accepted Answer

A)  Elbows extended 
B)  Hands at the side 
C)  Neutral or slightly flexed neck 
D)  Trunk slightly rounded with pelvic tilt 
E)  Hips partially flexed and adducted to near midline 
A)  Elbows extended 
B)  Hands at the side 
C)  Neutral or slightly flexed neck 
D)  Trunk slightly rounded with pelvic tilt 
E)  Hips partially flexed and adducted to near midline

Question 15

Which statement is true concerning the nutritional needs of preterm infants?

Accepted Answer

A)  The secretion of lactase is low. 
B)  Carbohydrates and fats are better tolerated than protein. 
C)  The demand for nutrients is less than in full-term infants. 
D)  Breast milk lacks the proper concentration of nutrients. 
A)  The secretion of lactase is low. 
B)  Carbohydrates and fats are better tolerated than protein. 
C)  The demand for nutrients is less than in full-term infants. 
D)  Breast milk lacks the proper concentration of nutrients.

Question 16

What is the most common cause of iatrogenic anemia in preterm infants?

Accepted Answer

A)  Frequent blood sampling 
B)  Respiratory distress syndrome 
C)  Meconium aspiration syndrome 
D)  Persistent pulmonary hypertension 
A)  Frequent blood sampling 
B)  Respiratory distress syndrome 
C)  Meconium aspiration syndrome 
D)  Persistent pulmonary hypertension

Question 17

The nurse is admitting a drug-exposed newborn to the neonatal intensive care unit.The nurse should assess the newborn for which signs of withdrawal?

Accepted Answer

A)  Tremors 
B)  Nasal stuffiness 
C)  Loose, watery stools 
D)  Hypoactive Moro reflex 
E)  Decrease in respiratory rate 
A)  Tremors 
B)  Nasal stuffiness 
C)  Loose, watery stools 
D)  Hypoactive Moro reflex 
E)  Decrease in respiratory rate

Question 18

What are possible premature infant complications from oxygen therapy and mechanical ventilation?

Accepted Answer

A)  Bronchopulmonary dysplasia and retinopathy of prematurity 
B)  Anemia and necrotizing enterocolitis 
C)  Cerebral palsy and persistent patent ductus arteriosus 
D)  Congestive heart failure and cerebral edema 
A)  Bronchopulmonary dysplasia and retinopathy of prematurity 
B)  Anemia and necrotizing enterocolitis 
C)  Cerebral palsy and persistent patent ductus arteriosus 
D)  Congestive heart failure and cerebral edema

Question 19

The neonatal intensive care nurse is caring for a neonate born at 36 weeks of gestation in an incubator.Which actions should the nurse plan to assure adequate skin care for the neonate?

Accepted Answer

A)  Changing any adhesives every 12 hours 
B)  Removing adhesives or skin barriers slowly 
C)  Using an adhesive remover when removing tape 
D)  Applying emollient as needed for dry, flaking skin 
E)  Using cleanser or soaps no more than two or three times a week 
A)  Changing any adhesives every 12 hours 
B)  Removing adhesives or skin barriers slowly 
C)  Using an adhesive remover when removing tape 
D)  Applying emollient as needed for dry, flaking skin 
E)  Using cleanser or soaps no more than two or three times a week

Question 20

The nurse is caring for a neonate with respiratory distress syndrome.The infant has an endotracheal tube.What should nursing considerations related to suctioning include?

Accepted Answer

A)  Suctioning should not be carried out routinely. 
B)  The infant should be in the Trendelenburg position for suctioning. 
C)  Routine suctioning, usually every 15 minutes, is necessary. 
D)  Frequent suctioning is necessary to maintain the patency of the bronchi. 
A)  Suctioning should not be carried out routinely. 
B)  The infant should be in the Trendelenburg position for suctioning. 
C)  Routine suctioning, usually every 15 minutes, is necessary. 
D)  Frequent suctioning is necessary to maintain the patency of the bronchi.

Exam 9: The High-Risk Newborn and Family

In about 1 week,a stable preterm infant will be discharged.The nurse should teach the parents to place the infant in which position for sleep?

The health care provider has prescribed surfactant,beractant (Survanta),to be administered to an infant with respiratory distress syndrome (RDS).The nurse understands that the beractant will be administered by which route?

Which refers to an infant whose rate of intrauterine growth has slowed and whose birth weight falls below the 10th percentile on intrauterine growth charts?

The nurse is caring for a preterm infant who is receiving caffeine citrate for treatment of apnea of prematurity.What signs should indicate caffeine toxicity?

What is most descriptive of the signs observed in neonatal sepsis?

While a mother is feeding her high-risk neonate,the nurse observes the neonate having occasional apnea,pallor,and bradycardia.What is the most appropriate nursing action?

When caring for a neonate in a radiant warmer,what should the nurse be alert to?

The nurse is attending a delivery of a full-term infant with meconium noted in the amniotic fluid.The nurse should understand that what action should be performed in the delivery room?

A preterm infant who is being fed commercial formula by gavage has had an increase in gastric residuals,abdominal distention,and apneic episodes.Which is the most appropriate nursing action?

Women who smoke during pregnancy are most likely to have infants who are what?

The nurse is caring for a preterm neonate who requires mechanical ventilation for treatment of respiratory distress syndrome.Because of the mechanical ventilation,the nurse should recognize an increased risk of what?

A preterm infant of 33 weeks of gestation is admitted to the neonatal intensive care unit.Approximately 2 hours after birth,the neonate begins having difficulty breathing,with grunting,tachypnea,and nasal flaring.What should the nurse recognize?

The neonatal intensive care nurse is planning care for an infant in an incubator.Which interventions should the nurse plan to assure therapeutic visual stimulation for the neonate?

The nurse is positioning a preterm neonate.What are therapeutic positions the nurse should implement?

Which statement is true concerning the nutritional needs of preterm infants?

What is the most common cause of iatrogenic anemia in preterm infants?

The nurse is admitting a drug-exposed newborn to the neonatal intensive care unit.The nurse should assess the newborn for which signs of withdrawal?

What are possible premature infant complications from oxygen therapy and mechanical ventilation?

The neonatal intensive care nurse is caring for a neonate born at 36 weeks of gestation in an incubator.Which actions should the nurse plan to assure adequate skin care for the neonate?

The nurse is caring for a neonate with respiratory distress syndrome.The infant has an endotracheal tube.What should nursing considerations related to suctioning include?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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