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High Risk Neonatal Nursing Care Questions and Answers 100% Correct
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High Risk Neonatal Nursing Care Questions and Answers 100% Correct
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High Risk Neonatal Nursing Care Questionsand Answers 100% Correct
The nurse in NICU is assessing a neonate delivered at 32 weeks gestation. Which
pathophysiological manifestation is the nurse's greatest concern?
1. Absent or weak reflexes
2. Presence of a heart murmur 3. Apnea 20 seconds or longer 4. Low hemoglobin
lab level - ANSWER ANS 3
Apnea for 20 seconds or longer is the nurse's greatest concern. Even though this is
expected in premature neonates, the nurse will still focus on ABCs.
The labor and delivery nurse is present for the delivery of a premature neonate.
Which action by the nurse is most important?
1. Stabilize and transfer neonate to NICU.
2. Review pregnancy history for risk factors.
3. Maintain fluid and electrolyte balance.
4. Provide a neutral temperature environment. - ANSWER ANS 4
When attending a premature birth, the most important nursing action is to
provide a neutral temperature environment (NTE). The premature neonate is at
risk for increased loss of heat because of diminished amounts of subcutaneous
fat. The nurse needs to take measures to prevent cold stress, which can be fatal.
The nurse is providing care for a premature neonate in the NICU nursery. The
neonate is diagnosed with bronchopulmonary dysplasia (BPD) and patent ductus
arteriosus (PDA). Which specific intervention does the nurse expect for this
neonate? 1. Monitor of hemoglobin and hematocrit levels.
2. Obtain blood glucose levels.
, 3. Maintain fluid restrictions.
4. Administer enteral feedings - ANSWER ANS 3
Maintaining fluid restrictions is specific for this neonate due to bronchopulmonary
dysplasia (BPD) and patent ductus arteriosus (PDA). Fluid restrictions are
appropriate for premature neonates with BPD, PDA, or other complications that
can lead to pulmonary edema.
A mother of a premature neonate in NICU asks the nurse when her baby will begin
getting oral feedings. The nurse is aware that multiple conditions are desired.
Which condition is most essential?
1. The neonate demonstrates proper feeding actions.
2. The neonate exhibits cardiorespiratory regulation.
3. The neonate is able to demonstrate hunger cues.
4. The neonate is able to maintain a quiet alert state. - ANSWER ANS 2
The nurse will observe the neonate for respiratory status, apnea, bradycardia,
oxygenation, and feeding tolerance. The neonate needs to exhibit
cardiorespiratory regulation before oral feedings are started. This is the most
essential condition for oral feedings.
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?
1. The baby will be more likely to breastfeed later.
2. The mother will feel more involved with the baby.
3. The neonate will gain weight faster on breast milk.
4. Breast milk helps prevent necrotizing enterocolitis - ANSWER ANS 4
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