Prep U high risk newborn level 6 2022.
Question 1:
(see full A woman gives birth to a newborn at 36 weeks' gestation.
question) She tells the nurse, “I'm so glad that my baby isn't
premature.” Which response by the nurse would be most
appropriate?
You selected: “We still need to monitor him closely for problems.”
Correct
Explanation: A baby born at 36 weeks' gestation is considered a late
preterm newborn. These newborns face similar challenges
as those of preterm newborns and require similar care.
Telling the mother that close monitoring is necessary can
prevent any misconceptions that she might have and
prepare her for what might arise. The baby is not
considered a term newborn, nor is the baby considered
premature. The decision for care in the NICU would
depend on the newborn's status. Asking the woman how
she feels about the birth demonstrates caring but does
not address the woman's lack of understanding about her
newborn. (less)
Question 2: Which of the following is a sign of increased intracranial
(see full
question) pressure in an infant?
You selected: Seizures
Correct
Explanation: Seizures are a change in neurological status and can be
indicative of increased intracranial pressure. The other
choices are normal newborn findings.
Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed.,
Philadelphia: Wolters Kluwer Health/Lippincott Williams &
Wilkins, 2014, Chapter 26: Nursing Care of a Family With
a High-Risk Newborn, p. 724.
Chapter 26: Nursing Care of a Family With a High-Risk
Newborn - Page 724
Question 3: The nurse frequently assesses the respiratory status of a
(see full
question) preterm newborn based on the understanding that the
newborn is at increased risk for respiratory distress
syndrome because of which factor?
,Prep U high risk newborn level 6 2022.
You selected: immature respiratory control center
,Prep U high risk newborn level 6 2022.
Incorrect
Correct response: deficiency of surfactant
Explanation: A preterm newborn is at increased risk for respiratory
distress syndrome (RDS) most commonly because of a
surfactant deficiency. Surfactant helps to keep the alveoli
open and maintain lung expansion. With a deficiency, the
alveoli collapse, predisposing the newborn to RDS. An
inability to clear fluids can lead to transient tachypnea.
Immature respiratory control centers lead to an increased
risk for apnea. Smaller respiratory passages lead to an
increased risk for obstruction. (less)
Question 4: A 35-year-old client has just given birth to a healthy
(see full
question) newborn during her 43rd week of gestation. What should
the nurse expect when assessing the condition of the
newborn?
You selected: meconium aspiration in utero or at birth
Correct
Explanation: Infants born after 42 weeks of pregnancy are postterm.
These infants are at a higher risk of swallowing or
aspirating meconium in utero or after birth. As soon as
the infant is born, the nurse usually suctions out the
secretions and fluids in the newborn's mouth and throat
before the first breath to avoid aspiration of meconium
and amniotic fluid into the lungs. Seizures, respiratory
distress, cyanosis, and shrill cry are signs and symptoms
of infants with intracranial hemorrhage. Intracranial
hemorrhage can be a dangerous birth injury that is
primarily a problem for preterm newborns, not postterm
neonates. Yellow appearance of the newborn's skin is
usually seen in infants with jaundice. Tremors, irritability,
high-pitched or weak cry, and eye rolling are seen in
infants with hypoglycemia. (less)
Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed.,
Philadelphia: Wolters Kluwer Health/Lippincott Williams &
Wilkins, 2014, Chapter 26: Nursing Care of a Family With
a High-Risk Newborn, p. 725.
Chapter 26: Nursing Care of a Family With a High-Risk
Newborn - Page 725
Question 5: (see full question)
, Prep U high risk newborn level 6 2022.
When
an
infant is
jaundic
ed,
what is
the
nurse's
main
role in
treatme
nt?
Question 1:
(see full A woman gives birth to a newborn at 36 weeks' gestation.
question) She tells the nurse, “I'm so glad that my baby isn't
premature.” Which response by the nurse would be most
appropriate?
You selected: “We still need to monitor him closely for problems.”
Correct
Explanation: A baby born at 36 weeks' gestation is considered a late
preterm newborn. These newborns face similar challenges
as those of preterm newborns and require similar care.
Telling the mother that close monitoring is necessary can
prevent any misconceptions that she might have and
prepare her for what might arise. The baby is not
considered a term newborn, nor is the baby considered
premature. The decision for care in the NICU would
depend on the newborn's status. Asking the woman how
she feels about the birth demonstrates caring but does
not address the woman's lack of understanding about her
newborn. (less)
Question 2: Which of the following is a sign of increased intracranial
(see full
question) pressure in an infant?
You selected: Seizures
Correct
Explanation: Seizures are a change in neurological status and can be
indicative of increased intracranial pressure. The other
choices are normal newborn findings.
Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed.,
Philadelphia: Wolters Kluwer Health/Lippincott Williams &
Wilkins, 2014, Chapter 26: Nursing Care of a Family With
a High-Risk Newborn, p. 724.
Chapter 26: Nursing Care of a Family With a High-Risk
Newborn - Page 724
Question 3: The nurse frequently assesses the respiratory status of a
(see full
question) preterm newborn based on the understanding that the
newborn is at increased risk for respiratory distress
syndrome because of which factor?
,Prep U high risk newborn level 6 2022.
You selected: immature respiratory control center
,Prep U high risk newborn level 6 2022.
Incorrect
Correct response: deficiency of surfactant
Explanation: A preterm newborn is at increased risk for respiratory
distress syndrome (RDS) most commonly because of a
surfactant deficiency. Surfactant helps to keep the alveoli
open and maintain lung expansion. With a deficiency, the
alveoli collapse, predisposing the newborn to RDS. An
inability to clear fluids can lead to transient tachypnea.
Immature respiratory control centers lead to an increased
risk for apnea. Smaller respiratory passages lead to an
increased risk for obstruction. (less)
Question 4: A 35-year-old client has just given birth to a healthy
(see full
question) newborn during her 43rd week of gestation. What should
the nurse expect when assessing the condition of the
newborn?
You selected: meconium aspiration in utero or at birth
Correct
Explanation: Infants born after 42 weeks of pregnancy are postterm.
These infants are at a higher risk of swallowing or
aspirating meconium in utero or after birth. As soon as
the infant is born, the nurse usually suctions out the
secretions and fluids in the newborn's mouth and throat
before the first breath to avoid aspiration of meconium
and amniotic fluid into the lungs. Seizures, respiratory
distress, cyanosis, and shrill cry are signs and symptoms
of infants with intracranial hemorrhage. Intracranial
hemorrhage can be a dangerous birth injury that is
primarily a problem for preterm newborns, not postterm
neonates. Yellow appearance of the newborn's skin is
usually seen in infants with jaundice. Tremors, irritability,
high-pitched or weak cry, and eye rolling are seen in
infants with hypoglycemia. (less)
Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed.,
Philadelphia: Wolters Kluwer Health/Lippincott Williams &
Wilkins, 2014, Chapter 26: Nursing Care of a Family With
a High-Risk Newborn, p. 725.
Chapter 26: Nursing Care of a Family With a High-Risk
Newborn - Page 725
Question 5: (see full question)
, Prep U high risk newborn level 6 2022.
When
an
infant is
jaundic
ed,
what is
the
nurse's
main
role in
treatme
nt?
