Nursing Care and Considerations for High-Risk Neonates and Infants, Exams of Nursing

Download Nursing Care and Considerations for High-Risk Neonates and Infants and more Exams Nursing in PDF only on Docsity! Pads Exam 3 Study Questions with 100% Verified Solutions for 2024 Update. 1. Low birth weight infants are at a disadvantage for heat production when compared to full term infants because they have: - ANS small muscle mass, fewer deposits of brown fat, and poor reflex control of skin capillaries, less insulating sub Q fat 2. The best way to prevent infection in the high risk neonate begins with: - ANS Meticulous and frequent hand washing of all persons coming into contact with the infant 3. A complication that develops Wight he use of the umbilical catheter is thrombi. This complication is best recognized by the appearance of: - ANS bluish discoloration seen in toes, called "catch toes" 4. Introduction of minimal enteral feeding in the metabolically stable preterm infant: - ANS stimulates the infant’s GI tract 5. The amount to be fed to the infant by nipple is: - ANS determined by the infants tolerance to previous feedings 6. Feeding facilitation techniques for preterm infants include: - ANS using a slightly firm nipple with slow flow 7. What is the best measurement of feeding success in the infant? - ANS coordinated sucking and swallowing ability 8. In caring for a preterm infant’s skin, the nurse knows to: - ANS use zinc- oxide based tape to secure monitoring equipment or intravenous infusions 9. Which of the following is correct nursing intervention to prevent skin damage in the neonate? - ANS Use gel mattresses to decrease skin breakdown 10. Which of the following is the best way for the nurse to promote a healthy parent-infant relationship for the family with a high-risk neonate? - ANS reinforce parents during their caregiving activities and interactions with their infant 11. Discharge instructions for the parents of the preterm infant should not include: - ANS warning parents that their infant may still be in danger and will need constant attention 12. To help parents deal with neonatal death, the nurse should: - ANS give the parents the opportunity to hold and talk with the infant before and after death 13. A physical characteristic usually observed in the preterm infant and not observed in the full term infant is? - ANS skin that is translucent, smooth, and shiny with small blood vessels clearly visible under the epidermis 14. Bryan, a 2 day old preterm infant being cared for in him NICU, had some periods of apnea yesterday. Today when you arrive to work, you learn in report that the infant had no further apneic episodes since yesterday. However, shortly after you begin your shift, Bryan's apnea monitor alarm sounds. What should you do first? - ANS Assess the infant for color and for presence of respiration 15. Susie a neonate born 20 minutes ago was observed at birth to have meconium staining. If Susie has meconium in the lungs, this most likely will: - ANS trap inspired air in he lungs 16. Infants diagnosed with Broncho pulmonary dysplasia have special care needs. Those needs include: - ANS adequate rest 17. Clinical signs seen in necrotizing enter colitis are: - ANS increase abdominal girth, increased gastric residual, and positive stool hermits 18. Why does the nurse carefully monitor and record amounts of all blood drawn for tests in the preterm infant? - ANS early prevention of anemia 19. Retinopathy of prematurity nursing care management includes: - ANS decreasing or avoiding events known to cause fluctuations in systemic blood pressure and oxygenation 20. John is a newborn jut delivered of a diabetic mother. The nurse will watch john for signs that he is rapidly developing: - ANS hypoglycemia 21. You would classify baby mark as: - ANS preterm infant and low birth weight 22. You identify mark as being at risk of developing respiratory distress syndrome based on his: - ANS gestational age, low Apgar score, and hypothermia 23. The nurse’s plan for oxygenation administration includes: - ANS frequent assessment to include unobstructed nares 24. Baby Mark's parents are visiting him for the first time. How can the nurse assist parents in feeling more comfortable in the NICU atmosphere: - ANS Explain what is happening with Mark and why he is receiving this type of care. 25. If failure to thrive has been a long standing problem, the infant will show evidence of: - ANS both weight and height being decreased 26. One important strategy for feeding a child with failure to thrive would be to: - ANS maintain a calm, even temperament during feedings 27. To increase caloric intake of an infant with failure to thrive, the nurse might recommend: - ANS restricting juice intake 28. Constipation in infancy: - ANS may be related to dietary practices 29. After fecal impaction is removed, maintenance therapy for constipation may include laxative use. Why polyethylene glycol is considered safe to use for pediatric patients? - ANS increases fluid in colon