Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Preterm and Postterm Newborns,100% CORRECT
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MATERNITY 101
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MATERNITY 101
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Preterm and Postterm Newborns
MULTIPLE CHOICE
1. The nurse is assessing a preterm infant. To what does the infants level of maturation refer?
a. Actual time the fetus remained in the uterus
b. Age on the Dubowitz scori...
test bank introduction to maternity and pediatric nursing 8e by leifer preterm and postterm newborns
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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 116
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by
Leifer) Preterm and Postterm Newborns
MULTIPLE CHOICE
1. The nurse is assessing a preterm infant. To what does the infants level of
maturation refer?
a. Actual time the fetus remained in the uterus
b. Age on the Dubowitz scoring system
c. Infants weight as compared to the gestational age
d. Ability of the organs to function outside of the uterus
ANS: D
Level of maturation refers to how well developed the infant is at birth and the
ability of the organs to function outside of the uterus.
DIF: Cognitive Level: Knowledge REF: Page 312
TOP: Preterm Infant KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. A preterm infant has a yellow skin color and a rising bilirubin level. The nurse
knows that this infant is at risk for what?
a. Skin breakdown
b. Renal failure
c. Brain damage
d. Heart failure
ANS: C
The higher the bilirubin level and the deeper the jaundice, the greater is the risk for
neurological damage.
DIF: Cognitive Level: Comprehension REF: Page 319
TOP: Jaundice KEY: Nursing Process Step: DNaUtaRCSoINlleGcTtiBo.nCOM
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
3. Why does a 4-day-old infant born at 33 weeks of gestation possibly need to be
fed by gavage during the first few days of life?
a. Weak or absent sucking or swallowing reflex
b. Inability to digest food properly
c. Refusal to take formula by mouth
d. Need for a larger quantity of formula at each feeding
ANS: A
When the preterm infants sucking and swallowing reflexes are immature, gavage
feedings can be used to promote nutrition.
This study source was downloaded by 100000802531269 from CourseHero.com on 07-09-2022 15:55:32 GMT -05:00
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 117
DIF: Cognitive Level: Comprehension REF: Page 320
TOP: Preterm InfantNutrition KEY: Nursing Process Step:
Implementation MSC: NCLEX: Health Promotion and
Maintenance: Growth and Development
4. What deficiency causes a preterm infant respiratory distress syndrome?
a. Protein
b. Estrogen
c. Hyaline
d. Surfactant
ANS: D
The production of surfactant, necessary for the absorption of oxygen by the lungs,
is deficient in the preterm infant.
DIF: Cognitive Level: Knowledge REF: Page 314
TOP: Respiratory Distress Syndrome KEY: Nursing Process Step: Data Collection
This study source was downloaded by 100000802531269 from CourseHero.com on 07-09-2022 15:55:32 GMT -05:00
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 118
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. 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.
ANS: C
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.
6. The nurse explainsto a patient in preterm labor that what may be ordered by the
physician to accelerate fetal lung maturity?
a. Prostaglandins
b. Oxytocin
c. Magnesium sulfate
d. Corticosteroids
ANS: D
Surfactant production can be increased by administering corticosteroids to the
mother before delivery.
DIF: Cognitive Level: Comprehension REF: Page 315
TOP: Respiratory Distress Syndrome KEY: Nursing Process
Step: Implementation MSC: NCLEX: Health Promotion and
MainteNnaUnRcSe:INGGroTwBt.Ch OanMd Development
7. The apnea monitor indicates that a preterm infant is having an apneic episode.
What is the most appropriate nursing action in this situation?
a. Administer oxygen via a nasal cannula.
b. Gently rub the infants feet or back.
c. Ventilate with an Ambu bag.
d. Perform nasopharyngeal suctioning.
ANS: B
This study source was downloaded by 100000802531269 from CourseHero.com on 07-09-2022 15:55:32 GMT -05:00
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