TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER
MULTIPLE CHOICE
1. A nurse is assessing a preterm infant. To what does the infant’s level of maturation refer?
a. Actual time the fetus remained in the uterus
b. Age on the Dubowitz scoring system
c. Infant’s 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: 295 OBJ: 1
TOP: Preterm Infant KEY: Nursing Process Step: Data Collection
2. A preterm infant has a yellow skin colour 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 kernicterus (a serious neurological complication
that can cause brain damage, which is also known as bilirubin encephalopathy).
DIF: Cognitive Level: Comprehension REF: 306 OBJ: 4
TOP: Jaundice KEY: Nursing Process Step: Data Collection
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
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER
c. Refusal to take breastmilk by mouth
d. Need for a larger quantity of breastmilk at each feeding
ANS: A
When the preterm infant’s sucking and swallowing reflexes are immature, gavage feedings can be used to promote nutrition.
DIF: Cognitive Level: Comprehension REF: 308 OBJ: 4 | 6
TOP: Preterm Infant—Nutrition KEY: Nursing Process Step: Implementation
4. A nurse is aware that a deficiency in which of the following 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: 298 OBJ: 4
TOP: Respiratory Distress Syndrome KEY: Nursing Process Step: N/A
5. How will a 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 the pH of the stomach contents.
1ST EDITION BY LEIFER
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER
MULTIPLE CHOICE
1. A nurse is assessing a preterm infant. To what does the infant’s level of maturation refer?
a. Actual time the fetus remained in the uterus
b. Age on the Dubowitz scoring system
c. Infant’s 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: 295 OBJ: 1
TOP: Preterm Infant KEY: Nursing Process Step: Data Collection
2. A preterm infant has a yellow skin colour 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 kernicterus (a serious neurological complication
that can cause brain damage, which is also known as bilirubin encephalopathy).
DIF: Cognitive Level: Comprehension REF: 306 OBJ: 4
TOP: Jaundice KEY: Nursing Process Step: Data Collection
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
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER
c. Refusal to take breastmilk by mouth
d. Need for a larger quantity of breastmilk at each feeding
ANS: A
When the preterm infant’s sucking and swallowing reflexes are immature, gavage feedings can be used to promote nutrition.
DIF: Cognitive Level: Comprehension REF: 308 OBJ: 4 | 6
TOP: Preterm Infant—Nutrition KEY: Nursing Process Step: Implementation
4. A nurse is aware that a deficiency in which of the following 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: 298 OBJ: 4
TOP: Respiratory Distress Syndrome KEY: Nursing Process Step: N/A
5. How will a 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 the pH of the stomach contents.
