Nokea
The newborn infant has oxygenation problems and a lack of subcutaneous fat. What should the nurse determine as the gestational age of this infant?
- A. 20 to 37 completed weeks of pregnancy
- B. 38 to 41 completed weeks of pregnancy
- C. 14 to 36 completed weeks of pregnancy
- D. 42 or more completed weeks of pregnancy
Correct Answer: A
Rationale: The lungs of preterm infants have not fully developed; therefore, they have problems with oxygenation. Preterm infants also lack subcutaneous fat. The gestational age of the preterm is classified as 20 to 37 complete weeks of pregnancy.
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The nurse is assessing the newborn and discovers a yellowing of the skin. What is true for jaundice that appears at birth?
- A. Within normal limits
- B. Pathologic
- C. A result of iron deficiency
- D. Indicating possible hepatitis
Correct Answer: B
Rationale: Jaundice observed at birth is considered an indicator of a pathologic condition, erythroblastosis fetalis. It is considered abnormal.
Cognitive impairment facial abnormalities and growth retardation are characteristics of which abnormality in a fetus?
- A. Fetal dependency
- B. Fetal immaturity
- C. Malnutrition dependency
- D. Fetal alcohol syndrome
Correct Answer: D
Rationale: Use of alcohol may result in multiple anomalies called fetal alcohol syndrome. The fetus may also be born with alcohol dependency and immaturity, but the characteristics noted are specific for fetal alcohol syndrome.
What condition is a possible cause of gestational hypertension?
- A. Too much salt
- B. A toxin
- C. Renal disease
- D. Diabetes
Correct Answer: C
Rationale: Gestational hypertension may be caused by other existing conditions, such as renal disease.
The nurse reports to the charge nurse that the 3-hour postpartum patient is bleeding excessively as she has saturated one peripad in less than ___ minutes.
Correct Answer: 15
Rationale: The saturation of one peripad within 15 minutes is considered to be excessive bleeding.
Compared to older infants of comparable weight how much higher is the morbidity and mortality rate for preterm infants?
- A. One to two times
- B. Two to three times
- C. Three to four times
- D. Four to five times
Correct Answer: C
Rationale: The morbidity and mortality rate for preterm infants is higher by three to four times that of an older infant of similar weight.