INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 116
Chapter 13: Preterm and Postterm Newborns
MULTIPLE CHOICE
1. The nurse is assessing a preterm infant. To what does the infants level of maturation refer?
a. Actual time the fetus remained in the uterus
b. Age on the Dubowitz scoring system
c. Infants weight as compared to the gestational age
d. Ability of the organs to function outside of the uterus
ANS: D
Level of maturation refers to how well developed the infant is at birth and the ability of the organs to function
outside of the uterus.
DIF: Cognitive Level: Knowledge REF: Page 312
TOP: Preterm Infant KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. A preterm infant has a yellow skin color and a rising bilirubin level. The nurse knows that this infant is at
risk for what?
a. Skin breakdown
b. Renal failure
c. Brain damage
d. Heart failure
ANS: C
The higher the bilirubin level and the deeper the jaundice, the greater is the risk for neurological damage.
DIF: Cognitive Level: Comprehension REF: Page 319
TOP: Jaundice KEY: Nursing Process Step: Data Collection
NURSINGTB.COM
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. Why does a 4-day-old infant born at 33 weeks of gestation possibly need to be fed by gavage during the first
few days of life?
a. Weak or absent sucking or swallowing reflex
b. Inability to digest food properly
c. Refusal to take formula by mouth
d. Need for a larger quantity of formula at each feeding
ANS: A
When the preterm infants sucking and swallowing reflexes are immature, gavage feedings can be used to
promote nutrition.
DIF: Cognitive Level: Comprehension REF: Page 320
TOP: Preterm InfantNutrition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. What deficiency causes a preterm infant respiratory distress syndrome?
a. Protein
b. Estrogen
c. Hyaline
d. Surfactant
ANS: D
The production of surfactant, necessary for the absorption of oxygen by the lungs, is deficient in the preterm
infant.
DIF: Cognitive Level: Knowledge REF: Page 314
TOP: Respiratory Distress Syndrome KEY: Nursing Process Step: Data Collection
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 13:29:57 GMT -05:00
https://www.coursehero.com/file/59653597/TB-Chapter-13-Preterm-and-Postterm-Newbornspdf/
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 117
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. How will the nurse safely ensure tube placement when preparing to initiate a gavage feeding?
a. Check tube placement by injecting air into the stomach.
b. Weigh the infant before the feeding.
c. Aspirate stomach contents.
d. Check serum glucose level.
ANS: C
When the preterm infant is gavage fed, the contents of the stomach should be aspirated before the feeding is
started. Aspiration of the stomach contents ensures tube placement and also allows the nurse to assess the
amount of feeding in the stomach.
DIF: Cognitive Level: Application REF: Page 320
TOP: Preterm InfantNutrition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
6. The nurse explains to a patient in preterm labor that what may be ordered by the physician to accelerate fetal
lung maturity?
a. Prostaglandins
b. Oxytocin
c. Magnesium sulfate
d. Corticosteroids
ANS: D
Surfactant production can be increased by administering corticosteroids to the mother before delivery.
DIF: Cognitive Level: Comprehension REF: Page 315
TOP: Respiratory Distress Syndrome KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NURSINGTB.COM
7. The apnea monitor indicates that a preterm infant is having an apneic episode. What is the most appropriate
nursing action in this situation?
a. Administer oxygen via a nasal cannula.
b. Gently rub the infants feet or back.
c. Ventilate with an Ambu bag.
d. Perform nasopharyngeal suctioning.
ANS: B
Gently rubbing the infants back, ankles, or feet may stimulate the infant to breathe.
DIF: Cognitive Level: Application REF: Page 315
TOP: Preterm InfantApnea KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. What would the nurse assess for in a preterm infant receiving an intravenous infusion containing calcium
gluconate?
a. Seizures
b. Bradycardia
c. Dysrhythmias
d. Tetany
ANS: B
The infant receiving intravenous calcium gluconate should be monitored for bradycardia.
DIF: Cognitive Level: Application REF: Page 317
TOP: Hypocalcemia KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
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https://www.coursehero.com/file/59653597/TB-Chapter-13-Preterm-and-Postterm-Newbornspdf/
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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 116
Chapter 13: Preterm and Postterm Newborns
MULTIPLE CHOICE
1. The nurse is assessing a preterm infant. To what does the infants level of maturation refer?
a. Actual time the fetus remained in the uterus
b. Age on the Dubowitz scoring system
c. Infants weight as compared to the gestational age
d. Ability of the organs to function outside of the uterus
ANS: D
Level of maturation refers to how well developed the infant is at birth and the ability of the organs to function
outside of the uterus.
DIF: Cognitive Level: Knowledge REF: Page 312
TOP: Preterm Infant KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. A preterm infant has a yellow skin color and a rising bilirubin level. The nurse knows that this infant is at
risk for what?
a. Skin breakdown
b. Renal failure
c. Brain damage
d. Heart failure
ANS: C
The higher the bilirubin level and the deeper the jaundice, the greater is the risk for neurological damage.
DIF: Cognitive Level: Comprehension REF: Page 319
TOP: Jaundice KEY: Nursing Process Step: Data Collection
NURSINGTB.COM
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. Why does a 4-day-old infant born at 33 weeks of gestation possibly need to be fed by gavage during the first
few days of life?
a. Weak or absent sucking or swallowing reflex
b. Inability to digest food properly
c. Refusal to take formula by mouth
d. Need for a larger quantity of formula at each feeding
ANS: A
When the preterm infants sucking and swallowing reflexes are immature, gavage feedings can be used to
promote nutrition.
DIF: Cognitive Level: Comprehension REF: Page 320
TOP: Preterm InfantNutrition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. What deficiency causes a preterm infant respiratory distress syndrome?
a. Protein
b. Estrogen
c. Hyaline
d. Surfactant
ANS: D
The production of surfactant, necessary for the absorption of oxygen by the lungs, is deficient in the preterm
infant.
DIF: Cognitive Level: Knowledge REF: Page 314
TOP: Respiratory Distress Syndrome KEY: Nursing Process Step: Data Collection
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 13:29:57 GMT -05:00
https://www.coursehero.com/file/59653597/TB-Chapter-13-Preterm-and-Postterm-Newbornspdf/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 117
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. How will the nurse safely ensure tube placement when preparing to initiate a gavage feeding?
a. Check tube placement by injecting air into the stomach.
b. Weigh the infant before the feeding.
c. Aspirate stomach contents.
d. Check serum glucose level.
ANS: C
When the preterm infant is gavage fed, the contents of the stomach should be aspirated before the feeding is
started. Aspiration of the stomach contents ensures tube placement and also allows the nurse to assess the
amount of feeding in the stomach.
DIF: Cognitive Level: Application REF: Page 320
TOP: Preterm InfantNutrition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
6. The nurse explains to a patient in preterm labor that what may be ordered by the physician to accelerate fetal
lung maturity?
a. Prostaglandins
b. Oxytocin
c. Magnesium sulfate
d. Corticosteroids
ANS: D
Surfactant production can be increased by administering corticosteroids to the mother before delivery.
DIF: Cognitive Level: Comprehension REF: Page 315
TOP: Respiratory Distress Syndrome KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NURSINGTB.COM
7. The apnea monitor indicates that a preterm infant is having an apneic episode. What is the most appropriate
nursing action in this situation?
a. Administer oxygen via a nasal cannula.
b. Gently rub the infants feet or back.
c. Ventilate with an Ambu bag.
d. Perform nasopharyngeal suctioning.
ANS: B
Gently rubbing the infants back, ankles, or feet may stimulate the infant to breathe.
DIF: Cognitive Level: Application REF: Page 315
TOP: Preterm InfantApnea KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. What would the nurse assess for in a preterm infant receiving an intravenous infusion containing calcium
gluconate?
a. Seizures
b. Bradycardia
c. Dysrhythmias
d. Tetany
ANS: B
The infant receiving intravenous calcium gluconate should be monitored for bradycardia.
DIF: Cognitive Level: Application REF: Page 317
TOP: Hypocalcemia KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 13:29:57 GMT -05:00
https://www.coursehero.com/file/59653597/TB-Chapter-13-Preterm-and-Postterm-Newbornspdf/
NURSINGTB.COM
