Nokea
The nurse knows that a postterm infant may experience which potential problems? (Select all that apply.)
- A. Seizures
- B. Asphyxia
- C. Paralysis
- D. Visual defects
- E. Polycythemia
Correct Answer: A,B,E
Rationale: The postterm infant should be assessed closely for indication of asphyxia, seizures, and polycythemia.
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What deficiency causes a preterm infant respiratory distress syndrome?
- A. Protein
- B. Estrogen
- C. Hyaline
- D. Surfactant
Correct Answer: D
Rationale: The production of surfactant, necessary for the absorption of oxygen by the lungs, is deficient in the preterm infant.
What would the nurse assess for in a preterm infant receiving an intravenous infusion containing calcium gluconate?
- A. Seizures
- B. Bradycardia
- C. Dysrhythmias
- D. Tetany
Correct Answer: B
Rationale: The infant receiving intravenous calcium gluconate should be monitored for bradycardia.
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.
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
- C. Refusal to take formula by mouth
- D. Need for a larger quantity of formula at each feeding
Correct Answer: A
Rationale: When the preterm infant's sucking and swallowing reflexes are immature, gavage feedings can be used to promote nutrition.
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.