IV Exam #3 practice questions
A preterm infant of 32 weeks is being started on formula. When planning care for her, you anticipate that the formula used will most likely be
24 cal/oz formula
With the administration of oxygen, a preterm infants PaO2 level is monitored carefully. It is important to keep this level under which value to prevent retinopathy of prematurity?
40 mmHg
Hypoglycemia in a mature infant is defined as a blood glucose level below which of the following?
A) 100 mg/100 mL whole blood B) 80 mg/100 mL whole blood C) 40 mg/100 mL whole blood D) 30 mg/100 mL whole blood Answer= C) 80 mg/100 mL whole blood
Which of the following would you expect to asses in an infant with hypoglycemia?
A) Prolonged jaundice B) Limpness or jitteriness C) Pain along the sixth cranial nerve D) Excessive hunger Answer = B) Limpness or jitteriness
At an amniocentesis just prior to birth, a fetus lecithin/sphingomyelin ratio was determined to be 1:1. She is prone to what type of respiratory problem following birth?
Alveolar collapse on expiration
All infants need to be observed for hypoglycemia during the newborn period. Based on the facts obtained from pregnancy histories, which infant would be most likely to develop hypoglycemia?
An infant who had difficult establishing respirations at birth
A newborn does not breathe spontaneously at birth. You administer oxygen by bag and mask. If oxygen is entering the lungs, you should notice that
Chest rises with each bag compression
A premature infant develops respiratory distress syndrome. With this condition, circulatory impairment is likely to occur because with increased long tension
Ductus arteriosus remains open
A preterm infant has an umbilical vessel catheter inserted so that blood can be drawn readily. Which of the following would be most important to implement during this procedure?
Ensure she is kept warm
A common symptom that would alert you that a preterm infant is developing respiratory distress syndrome is
Expiratory grunting
A baby is born with congenital rubella. Which of the following would be an important assessment to be made before hospital discharge?
Hearing assessment
To administer oxygen by bag and mask to a newborn, you would position the baby
On the back with the head slightly extended
A preterm infant is placed on ventilator assistance for respiratory distress syndrome. In light of her lung pathology, which additional ventilatory measure would you anticipate planning?
Positive end-expiratory pressure to increase oxygenation
A preterm infant Will be hospitalized for an extended time. Assuming her condition is improving, which environment would you devise as the one most suitable for her?
Provide a mobile she can see no matter how she is turned
A preterm infant is transferred to a distant hospital for care. When her parents visit her, which of the following would be most important for you to urge them to do?
Touch and, if possible, hold her
