Nokea
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.
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How will the nurse safely ensure tube placement when preparing to initiate a gavage feeding?
- A. Check tube placement by injecting air into the stomach.
- B. Weigh the infant before the feeding.
- C. Aspirate stomach contents.
- D. Check serum glucose level.
Correct Answer: C
Rationale: When the preterm infant is gavage fed, the contents of the stomach should be aspirated before the feeding is started. Aspiration of the stomach contents ensures tube placement and also allows the nurse to assess the amount of feeding in the stomach.
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.
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.
When assessing a neonate born at 38 weeks of gestation, the nurse records his weight as 8 pounds, 10 ounces. What will the nurse consider this newborn?
- A. Term
- B. Small for gestational age
- C. Large for gestational age
- D. Late preterm
Correct Answer: C
Rationale: Term infants over 4000 g (8.8 lb) may be classified as large for gestational age (LGA).
How often will the nurse caring for a preterm infant in an incubator record the temperature of the infant and the incubator?
- A. Every hour
- B. Every 2 hours
- C. Every 4 hours
- D. Every 8 hours
Correct Answer: B
Rationale: The temperature of the incubator is adjusted to a level that will maintain an optimal body temperature in the infant. The nurse records the temperature of the infant and the incubator every 2 hours.