Nokea
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
Correct Answer: D
Rationale: Surfactant production can be increased by administering corticosteroids to the mother before delivery.
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The nurse assesses a preterm infant in the NICU. What signs should be reported to the physician? (Select all that apply.)
- A. Paleness
- B. Transparent skin
- C. Superficial scalp veins
- D. Vomiting
- E. Bulging fontanelles
Correct Answer: A,D,E
Rationale: Paleness, vomiting, and bulging fontanelles can indicate complications in the preterm newborn. Transparent skin and superficial scalp veins are expected findings.
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 mother of a 4-month-old infant, born prematurely, asks the nurse if her daughter will always be small for her age. What is the most appropriate nursing response?
- A. Preterm infants usually remain smaller than term infants throughout childhood.'
- B. Your daughter will be the same size as other children by the time she is 1 year old.'
- C. Prematurity is associated with short stature but does not affect weight gain.'
- D. It takes about two years for the preterm infant to catch up to a full-term infant.'
Correct Answer: D
Rationale: In the absence of severe birth defects and complications, the growth rate of the preterm newborn nears that of the term infant by about the second year.
The 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
Correct Answer: D
Rationale: 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.
What term describes the age of a neonate that is based on the actual time in utero?
- A. Maturational age
- B. Gestational age
- C. Neurological age
- D. Chronological age
Correct Answer: B
Rationale: The gestational age is the age based on the actual time in the uterus.