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High-Risk Neonatal Nursing Care Complete Questions and Answers GRADED A+
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High-Risk Neonatal Nursing Care Complete Questions and Answers GRADED A+
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High-Risk Neonatal Nursing Care CompleteQuestions and Answers GRADED A+
A nurse is assessing a preterm baby with a gestational age of 32 weeks and birth
weight of 1,389 grams. Which of the following signs if present would be a possible
indication of RDS.
A. Expiratory grunting and intercostal retractions.
B. Respiratory rate of 46 breaths per minute and presence of acrocyanosis.
C. Mild nasal flaring and heart rate of 140 beats per minute.
D. Bradycardia and bounding pulse - ANSWER A. Expiratory grunting and
intercostal retractions
The primary risk factor for necrotizing enterocolitis is
A. Early oral feedings with formula
B. Passage of meconium during labor
C. Prematurity
D. Low birth weight - ANSWER C. Prematurity
A common characteristic of a premature infant is
A. Absence lanugo
B. Dry skin
C. Increased flexion of arms and legs
D. Transparent and red skin - ANSWER D. Transparent and red skin
When gavage feeding a preterm neonate, the nurse should
,A. measure the tube before insertion from the mouth to the sternum
B. Check for placement by injecting a small amount of sterile water into the
feeding tube and listen for a gurgling noise
C. Instill formula over a 20 minute period of time
D. Flush the tube at the end of feeding with dextrose water. - ANSWER C. Instill
formula over a 20 minute period of time
Which of the following statements is true regarding hyperbilirubinemia?
A. Jaundice covers the entire body in pathological jaundice versus only the face in
physiological jaundice.
B. Jaundice occurs within the first 24 hours post birth in pathological jaundice
versus after 24 hours in physiological jaundice.
C. Kernicterus only occurs in pathological jaundice.
D. Jaundice begins to appear in term neonates when the bilirubin level is 3 mg/dL.
- ANSWER B. Jaundice occurs within the first 24 hours post birth in pathological
jaundice versus after 24 hours in physiological jaundice.
Clinical management strategies for prevention of retinopathy of prematurity focus
on targeting appropriate ______ranges for infants at risk
A. Arterial pH
B. Oxygen saturation
C. Heart rate
D. Core temperature - ANSWER B. Oxygen saturation
A neonate born at 37 weeks gestation is determined to be small for gestational
age. The most common immediate problem for this infant would be
A. anemia
,B. hypovolemia
C. hypoglycemia
D. Hypocalcemia - ANSWER C. Hypoglycemia
Which of the following treatments is recommended for the infant experiencing
drug withdrawal symptoms?
A. morphine
B. diluted formula
C. frequent awakening
D. well-lit room - ANSWER A. morphine
Which is not a risk to the infant of a diabetic mother
A. hyperglycemia
B. poor feeding
C. Marcosomia
D. respiratory distress - ANSWER A. hyperglycemia
If a pregnant woman is group beta strep positive, prophylactic antibiotics should
be administered if
A. she is a planned c section
B. the gestational age of her baby is less than 37 weeks
C. she has vomiting and diarrhea during labor
D. her baby has a known congenital anomaly - ANSWER B. the gestational age
of her baby is less than 37 weeks
, 1. A neonate is born at 33 weeks' gestation with a birth weight of 2400 grams. This
neonate would be classified as:
a. Low birth weight
b. Very low birth weight
c. Extremely low birth weight
d. Very premature - ANSWER ANS: a
a. Neonates with a birth weight of less than 2500 grams but greater than 1500
grams are classified as low birth weight.
b. Neonates with birth weight less than 1500 grams but greater than 1000 grams
are classified as very low birth weight.
c. Neonates with birth weight less than 1000 grams are classified as extremely low
birth weight.
d. Neonates born less than 32 weeks' gestation are classified as very premature.
2. A nurse assesses that a 3-day-old neonate who was born at 34 weeks' gestation
has abdominal distention and vomiting. These assessment findings are most likely
related to:
a. Respiratory Distress Syndrome (RDS)
b. Bronchopulmonary Dysplasia (BPD)
c. Periventricular Hemorrhage (PVH)
d. Necrotizing Enterocolitis (NEC) - ANSWER ANS: d
a. Assessment findings for RDS include tachypnea, intercostal retractions,
respiratory grunting, and nasal flaring.
b. Assessment findings for BPD include chest retractions; audible wheezing, rales,
and rhonchi; hypoxia; and bronchospasm.
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