Nokea
What term best describes an infant born with a birth weight below the 10th percentile for gestational age?
- A. Appropriate for gestational age
- B. Failure to thrive
- C. Small for gestational age
- D. Infant born to mother of gestational diabetes
Correct Answer: C
Rationale: The correct answer is C: Small for gestational age. This term describes an infant born with a birth weight below the 10th percentile for gestational age, indicating intrauterine growth restriction. This term specifically addresses the infant's size in relation to their gestational age, distinguishing it from other choices.
A: Appropriate for gestational age refers to infants whose birth weight falls within the normal range for their gestational age, not below the 10th percentile.
B: Failure to thrive is a broader term encompassing various factors affecting a child's growth and development, not specifically related to birth weight percentile.
D: Infant born to mother of gestational diabetes pertains to a specific maternal condition that may affect the infant's health but does not directly address the infant's birth weight percentile.
You may also like to solve these questions
The NICU nurse encourages the mother of a premature neonate to bring breast milk to the unit for enteral feedings to her baby. For which reason does the nurse make this suggestion?
- A. The baby will be more likely to breastfeed later.
- B. The mother will feel more involved with the baby.
- C. The neonate will gain weight faster on breast milk.
- D. Breast milk helps prevent necrotizing enterocolitis.
Correct Answer: D
Rationale: The correct answer is D because breast milk helps prevent necrotizing enterocolitis (NEC) in premature neonates. Breast milk contains protective factors that reduce the risk of NEC, a serious gastrointestinal condition common in preterm infants. Other choices are incorrect: A is not directly related to feeding breast milk, B focuses on emotional involvement rather than physiological benefits, and C does not address the specific health benefits of breast milk in preventing NEC.
A preterm infant is on a ventilator, with intravenous lines and other medical equipment. When the parents come to visit for the first time, what is the most important action by the nurse?
- A. Encourage the parents to touch their infant.
- B. Reassure the parents that the infant is progressing well.
- C. Discuss the care they will give their infant when the infant goes hom
- D. Suggest that the parents visit for only a short time to reduce their anxiety.
Correct Answer: A
Rationale: The correct answer is A: Encourage the parents to touch their infant. This is important as physical touch promotes bonding between the parents and the infant, which is crucial for the infant's emotional and psychological development. It also helps the parents feel connected and involved in the care of their child.
Choice B is incorrect because reassurance alone may not address the parents' need for physical closeness and bonding with their infant. Choice C is incorrect as discussing future care at this moment may overwhelm the parents and distract from the immediate need for bonding. Choice D is incorrect because limiting the parents' visit time may create more anxiety and hinder the bonding process.
Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to avoid this problem?
- A. Group all care activities together to provide long periods of rest.
- B. Keep charts on top of the incubator so the nurses can write on them ther
- C. While giving a report to the next nurse, stand in front of the incubator and talk softly about how the infant responds to stimulation.
- D. Teach the parents signs of overstimulation, such as turning the face away or stiffening and extending the extremities and fingers.
Correct Answer: D
Rationale: The correct answer is D: Teach the parents signs of overstimulation, such as turning the face away or stiffening and extending the extremities and fingers.
Rationale:
1. Teaching parents signs of overstimulation empowers them to recognize and respond to their infant's cues effectively.
2. Parents can then modify the environment or interactions to reduce overstimulation, hence decreasing oxygen use.
3. This intervention promotes parental involvement in the care of the preterm infant, fostering a supportive and nurturing environment.
4. By educating parents, the nursing staff can work collaboratively with families to optimize the infant's care and well-being.
Summary:
A: Grouping care activities may help with rest but does not directly address overstimulation and increased oxygen use.
B: Keeping charts on top of the incubator is irrelevant to addressing overstimulation.
C: Providing a soft report does not directly address overstimulation or involve parents in recognizing signs.
The nurse is present in the delivery room when a mother is told her neonate was stillborn. The mother begins to wail loudly and pull at her hair. Which action does the nurse take?
- A. Allow the mother to express grief in her own way.
- B. Attempt to calm the mother and prevent self-harm.
- C. Ask for a sedative to calm the mother’s reaction.
- D. Ask a family member to comfort the mother.
Correct Answer: A
Rationale: The correct answer is A: Allow the mother to express grief in her own way. The nurse should prioritize the mother's emotional needs by providing a safe space for her to express her grief. This can help the mother process her emotions and begin the grieving process. Option B may come across as dismissive of the mother's feelings and could hinder her emotional healing. Option C with sedatives may suppress the mother's natural grieving process and is not recommended unless absolutely necessary. Option D is not appropriate as the nurse should be present to support the mother directly.
Which rationale is true regarding jaundice in newborns?
- A. Jaundice can result in a newborn when the mother and newborn have the same blood type.
- B. A mother who breastfeeds her newborn who develops jaundice may have to begin formula temporarily.
- C. Bilirubin levels will drop in newborns who have jaundice and may cause brain abnormalities.
- D. Keeping a newborn with jaundice below 98.7°F is essential in lowering bilirubin levels.
Correct Answer: B
Rationale: Step 1: Breast milk jaundice is a common cause of jaundice in newborns due to a substance in breast milk that can increase bilirubin levels.
Step 2: Switching to formula temporarily can help resolve the issue as formula-fed babies have lower incidences of jaundice.
Step 3: This is supported by medical guidelines recommending temporary cessation of breastfeeding in cases of severe jaundice.
Summary:
A: Blood type compatibility does not directly cause jaundice in newborns.
C: Bilirubin levels need to be monitored and managed in newborns with jaundice to prevent brain damage.
D: Maintaining a specific temperature is not the primary method of managing jaundice in newborns.