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 51. In planning for a child's discharge after a sickle cell crisis, the nurse recognizes which one of the following as a critical factor to include in the teaching plan? - ANS ingestion of large quantities of liquids to promote adequate hydration 52. The blood brain barrier in a newborn is: - ANS permeable to large molecules 53. Which of the following signs is used to evaluate increased intracranial pressure in the infant but not in the older child? - ANS tense bulging fontanel 54. The drug manifold is often administered to treat ICP resulting from cerebral edema. The nurse knows that which of the following statements to be correct? - ANS An indwelling catheter is inserted to ensure bladder emptying because of the profound diuretic effect of the drug 55. After a seizure in a child over 3 years of age, the Babinski reflex often: - ANS fluctuates 56. Emergency Treatment of a child with a head injury would generally not include: - ANS administering analgesics 57. The clinical manifestation that indicates a progression from minor head injury to severe head injury is: - ANS mounting agitation 58. The etiology of bacterial meningitis has changed in recent years because of the: - ANS routine use of H influenza type B and streptococcus pneumonia vaccines 59. The most common mode of transmission for bacterial meningitis is: - ANS vascular dissemination of a respiratory tract infection 60. Secondary problems from bacterial meningitis are most likely to occur in the: - ANS infant under 2 months of age 61. Upon delivery of an infant with myelomeningocele which one of the following nursing actions is contraindicated? - ANS diapering the infant 62. Therapeutic management that provides the most favorable morbidity and mortality outcomes for the child born with myelomeningocele is: - ANS surgical closure of the defect within the first 24-72 hours is 63. The major anomaly most frequently associated with myelomeningocele is: - ANS hydrocephalus 64. Management of the GU fan in him patient with myelomeningocele includes clean and intermittent catheterization (CIC) and anticholinergic medication. Which of the following statements about their use is correct? - ANS parents are taught to catch the infant every 4 hours during the day and once at night; anticholinergic medications reduce detrusor muscle tone and reduce bladder pressure 65. Research has shown that maternal supplementation of folic acid can reduce the recurrence rates of spin bifida, an encephalopathy, or encephalocele. How should this supplement be administered? - ANS daily folic acid dose of 4 mg beginning 1 month before conception and during the first trimester 66. Children with spine bifida who are confined to a wheelchair are at risk for: - ANS skin breakdown