An infant at 36 weeks of gestation has increasing respirations (80 to 100 breaths/min with marked substernal retractions). The infant is given oxygen by continuous nasal positive airway pressure. Which arterial oxygen level would indicate hypoxia?
a) PaO2 of 89
b) PaO2 of 45
c) PaO2 of 73
d) PaO2 of 67
An infant is being discharged from the neonatal intensive care unit after 70 days of hospitalization. The infant was born at 30 weeks of gestation with several conditions associated with prematurity, including respiratory distress syndrome, mild bronchopulmonary dysplasia, and retinopathy of prematurity requiring surgical treatment. During discharge teaching the infant’s mother asks the nurse if her baby will meet developmental milestones on time, as did her son who was born at term. The nurse’s most appropriate response is:
a) Your baby does not appear to have any problems at the present time.”
b) Your baby will need to be followed very closely.”
c) “Your baby will need to be corrected for prematurity. Your baby is currently 40 weeks of postconceptional age and can be expected to be doing what a 40-week-old infant would be doing.”
d) Your baby will develop exactly like your first child did.”
“Your baby will need to be corrected for prematurity. Your baby is currently 40 weeks of postconceptional age and can be expected to be doing what a 40-week-old infant would be doing.”
For diagnostic and treatment purposes nurses should know the birth weight classifications of high risk infants. For example, extremely low birth weight (ELBW) is the designation for an infant whose weight is:
a) Less than 2000 g.
b) Less than 1500 g
c) Dependent on the gestational age.
d) Less than 1000 g.
An infant is to receive gastrostomy feedings. What intervention should the nurse institute to prevent bloating, gastrointestinal reflux into the esophagus, vomiting, and respiratory compromise?
a) Rapid bolusing of the entire amount in 15 minutes
b) Slow, small, warm bolus feedings over 30 minutes
c) Cold, medium bolus feedings over 20 minutes
d) Warm cloths to the abdomen for the first 10 minutes
When providing an infant with a gavage feeding, which of the following should be documented each time?
a) The infant’s heart rate and respirations
b) The infant’s abdominal circumference after the feeding
c) The infant’s response to the feeding
d) The infant’s suck and swallow coordination
An 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 would be to:
a) Continue to observe and make no changes until the saturations are 75%.
b) Listen to breath sounds and ensure the patency of the endotracheal tube, increase oxygen, and notify a physician.
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.
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