PrepU Chapter 23 Questions
Side effects of mechanical ventilation in newborns with RDS?
bronchopulmonary dysplasia, pulmonary hypertension, and retinopathy of prematurity
A 33-week-gestation infant has just been born. The child's heartbeat is not audible. What is the priority nursing intervention?
Depression of the sternum with both thumbs 1 to 2 cm at a rate of 100 times per minute
An infant with a fully functioning respiratory system would have a Silverman-Anderson Index of what?
0
An infant with a non-functioning respiratory system would have a Silverman-Anderson Index of what?
10
A mother asks when a preterm infant receives basic immunizations. Which response by the nurse is most accurate?
Basic immunizations are given according to the chronologic age of an infant.
What is the correct sequence of events in a neonatal resuscitation?
Dry the infant, establish an airway, expand the lungs, and initiate ventilation.
At birth, a term infant has irregular respirations and a weak cry. What is the sequence of events initiated by the nurse when caring for this infant?
Dry the infant, stimulate the infant, and keep the infant warm.
An injury to the upper brachial plexus
Erb Palsy
An injury to the lower brachial plexus
Klumpke palsy
Name some effective treatments for established RDS?
PEEP, CPAP, and (as a last resort) mechanical ventilation
A newborn has scheduled heel sticks for bilirubin checks every 4 hours. The mother asks the nurse "what can be done to calm my baby after those heel pricks?" What is the nurse's most appropriate response?
Sucrose bottle for pain relief
A preterm infant begins gagging, splaying fingers and toes, and goes limp when the parents are playing with the infant. What would the nurse teach the parents?
The infant is stressed and needs to rest
A cesarean birth results in an infant weighing 4,990 g (11 lb). The nurse assesses the infant for which complication?
Transient lung fluid
What might you hear when listening to the lung sounds of a baby with RDS?
fine inspiratory crackles
An infant experiencing RDS would have an ________________ breathing and heart rate.
increased (greater than 60 resp and 160 bpm)
Which assessment finding by the nurse would indicate that a neonate is being comforted?
increased oxygen saturation
After a gavage feeding of a preterm neonate, the nurse aspirates 4 ml of undigested formula. This finding may indicate the development of which complication?
necrotizing enterocolitis
How does the nurse position the infant experiencing respiratory difficulty?
on the back with the head elevated 15 degrees
The small-for-gestational-age neonate is at increased risk for which complication during the transitional period?
polycythemia (probably due to chronic fetal hypoxia)
Heralding signs of necrotizing entercollitis
the development of feeding intolerance, abdominal distention, and bloody stools
What percentage of neonates require some type of assistance to transition to extrauterine life?
10%
A newborn's condition is not improving after intubation. What assessment by the nurse would identify a possible problem?
Auscultate breath sounds
A nurse assists with immediate interventions when a newborn is unable to initiate and maintain adequate respiratory function based on the understanding that these interventions are important to prevent which event(s)? Select all that apply.
Hypoxia Hypoxemia Acidosis Hypercarbia
Signs and symptoms of septic shock
respiratory distress, temperature instability, lethargy, hypotension, and oliguria
preterm newborn receives oxygen therapy to treat respiratory distress syndrome (RDS). Which complication should the nurse consider a result of oxygen administration at a high concentration?
retinopathy of prematurity
Infants with necrotizing enterocolitis can acquire what if condition worsens?
septic shock
A nurse is caring for a baby girl born at 34 weeks' gestation. Which feature should the nurse identify as those of a preterm newborn?
shiny heels and palms
