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7 Cards in this Set
- Front
- Back
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When providing an infant with a gavage feeding, what should be documented each time?
a) The infant's abdominal circumference after the feeding b) The infant's heart rate and respirations c) The infant's suck and swallow coordination d) The infant's response to the feeding |
The infants response to the feeding
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A male infant at 26 weeks of gestation arrives from the delivery room intubated. The nurse weighs the infant, places him under the radiant warmer, and attaches him to the ventilator at the prescribed settings. A pulse oximeter and cardiorespiratory monitor are placed. The pulse oximeter is recording oxygen saturations of 80%. The prescribed saturations are 92%. The nurse's most appropriate action is to:
a) Listen to breath sounds and ensure the patency of the endotracheal tube, increase oxygen, and notify a physician b) Continue to observe and make no changes until the saturations are 75% c) Continue with the admission process to ensure that a thorough assessment is completed d) Notify the parents that their infant is not doing well |
Listen to breath sounds and ensure the patency of the endotracheal tube, increase oxygen, and notify a physician
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Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal mucosa. The signs of NEC are nonspecific. Some generalized signs include:
a) Hypertonia, tachycardia, and metabolic alkalosis b) Abdominal distention, temperature instability, and grossly bloody stools c) Hypertension, absence of apnea, and ruddy skin color d) Scaphoid abdomen, no residual with feedings, and increased urinary output |
Abdominal distention, temperature instability, and grossly bloody stools
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For diagnostic and treatment purposes, nurses should know the birth weight classifications of high risk infants. For example, extremely low birth weight is the designation for an infant whose weight is:
a) Less than 1500g b) Less than 1000g c) Less than 2000g d) Dependent on the gestational age |
Less than 1000g
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Premature infants who exhibit 5 to 10 seconds of respiratory pauses followed by 10 to 15 seconds of compensatory rapid respiration are:
a) Suffering from sleep or wakeful apnea b) Experiencing severe swings in blood pressure c) Trying to maintain a neutral thermal environment d) Breathing in a respiratory pattern common to premature infants |
Breathing in a respiratory pattern cmmon to premature infants
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A nurse providing care to preterm infants should understand that nasogastric and orogastric tubes are used to:
a) Help maintain body temperature b) Provide oxygen and ventilation c) Replace surfactants d) Feed the infant |
Feed the infant
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With regard to small-for-gestational age infants and intrauterine growth restriction (IUGR), nurses should be aware that:
a) In the first trimester, diseases or abnormalities result in asymmetric IUGR b) Infants with asymmetric IUGR have the potential for normal growth and development c) In asymmetric IUGR, weight is slightly more than SGA, whereas length and head circumference are somewhat less than SGA d) Symmetric IUGR occurs in the later stages of pregnancy |
Infants with asymmetric IUGR have the potential for normal growth and development
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