Nokea
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
Correct Answer: C
Rationale: The higher the bilirubin level and the deeper the jaundice, the greater is the risk for neurological damage.
You may also like to solve these questions
The nurse caring for an infant born at 36 weeks of gestation assesses tremors and a weak cry. The nurse is aware that these symptoms indicate what?
- A. Respiratory distress syndrome
- B. Hypoglycemia
- C. Necrotizing enterocolitis
- D. Renal failure
Correct Answer: B
Rationale: The preterm infant, before 38 weeks, should be assessed for hypoglycemia because the infant's glycogen stores are not adequate.
The nurse is caring for an infant born at 42 weeks. What would the physical assessment reveal?
- A. Dry, peeling skin
- B. Minimal hair on the head
- C. Short, rough nails
- D. Abundant lanugo on the body
Correct Answer: A
Rationale: Loss of vernix caseosa leaves the skin dry, causing peeling.
The nurse in a pediatrician's office is preparing to do a developmental assessment on a 3-month-old infant who was born at 36 weeks. The nurse knows that the infant should be evaluated in what month of achievement to adjust for the preterm birth?
- A. 1st
- B. 2nd
- C. 3rd
- D. 4th
Correct Answer: B
Rationale: The growth and development of a preterm infant are based on the current age minus the number of weeks before term that the infant was born.
The nurse clarifies that a fetus has enough surfactant to breathe on its own at the age of weeks.
Correct Answer: 34
Rationale: Surfactant begins to appear at the age of 24 weeks and is adequate to support life at the age of 34 weeks.
What symptoms of cold stress might the nurse recognize in a preterm infant?
- A. Tremors and weak cry
- B. Plasma glucose level below 40 mg/dL
- C. Warm skin with low core temperature
- D. Increased respiratory rate and periods of apnea
Correct Answer: D
Rationale: Signs of cold stress include increased respiratory rate with periods of apnea, decreased skin temperature, bradycardia, mottling of skin, and lethargy.