Page 1 NSG 2400 Complications of Prematurity
Because preterm infants are at risk for respiratory distress 1
syndrome, immediate nursing intervention is required
when a preterm infant exhibits what sign?
1
Supraventricular retractions
2
Tachycardia of 160 beats/min
3
Respirations of 50 to 60 breaths/min
4
Neonatal Infant Pain Scale (NIPS) score of three
NSG 2400 Complications of Prematurity 1
,Page 2 NSG 2400 Complications of Prematurity
Continuous positive-pressure ventilation therapy by way 3
of an endotracheal tube is started in a newborn with
respiratory distress syndrome (RDS). The nurse
determines that the infant's breath sounds on the right
side are diminished and that the point of maximum
impulse (PMI) of the heartbeat is in the left axillary line.
How should the nurse interpret these data?
1
These findings are expected because infants with this
disorder often have some degree of atelectasis.
2
The inspiratory pressure on the ventilator is probably too
low and needs to be increased for adequate ventilation.
3
These findings indicate that the infant may have a
pneumothorax and that the health care provider should
be contacted immediately.
4
The endotracheal tube needs to be pulled back to
ventilate both lungs because it has probably slipped into
the left main stem bronchus.
NSG 2400 Complications of Prematurity 2
, Page 3 NSG 2400 Complications of Prematurity
A newborn with respiratory distress syndrome (RDS) is 4
receiving continuous positive airway pressure (CPAP)
therapy by way of an endotracheal tube. The nurse
determines that the infant's breath sounds on the right
side are diminished and that the point of maximum
impulse (PMI) of the heartbeat is in the left axillary line.
What is the interpretation of these assessment data and
the appropriate nursing action?
1
Inspiratory pressure on the ventilator is probably too low
and should be increased for adequate ventilation.
2
Infants with RDS often have some degree of atelectasis,
and there should be no change in treatment.
3
The endotracheal tube has slipped into the left main
stem bronchus and should be pulled back to ventilate
both lungs.
4
The infant may have a pneumothorax, and the health care
provider should be called so that corrective therapy can
be started immediately.
NSG 2400 Complications of Prematurity 3
Because preterm infants are at risk for respiratory distress 1
syndrome, immediate nursing intervention is required
when a preterm infant exhibits what sign?
1
Supraventricular retractions
2
Tachycardia of 160 beats/min
3
Respirations of 50 to 60 breaths/min
4
Neonatal Infant Pain Scale (NIPS) score of three
NSG 2400 Complications of Prematurity 1
,Page 2 NSG 2400 Complications of Prematurity
Continuous positive-pressure ventilation therapy by way 3
of an endotracheal tube is started in a newborn with
respiratory distress syndrome (RDS). The nurse
determines that the infant's breath sounds on the right
side are diminished and that the point of maximum
impulse (PMI) of the heartbeat is in the left axillary line.
How should the nurse interpret these data?
1
These findings are expected because infants with this
disorder often have some degree of atelectasis.
2
The inspiratory pressure on the ventilator is probably too
low and needs to be increased for adequate ventilation.
3
These findings indicate that the infant may have a
pneumothorax and that the health care provider should
be contacted immediately.
4
The endotracheal tube needs to be pulled back to
ventilate both lungs because it has probably slipped into
the left main stem bronchus.
NSG 2400 Complications of Prematurity 2
, Page 3 NSG 2400 Complications of Prematurity
A newborn with respiratory distress syndrome (RDS) is 4
receiving continuous positive airway pressure (CPAP)
therapy by way of an endotracheal tube. The nurse
determines that the infant's breath sounds on the right
side are diminished and that the point of maximum
impulse (PMI) of the heartbeat is in the left axillary line.
What is the interpretation of these assessment data and
the appropriate nursing action?
1
Inspiratory pressure on the ventilator is probably too low
and should be increased for adequate ventilation.
2
Infants with RDS often have some degree of atelectasis,
and there should be no change in treatment.
3
The endotracheal tube has slipped into the left main
stem bronchus and should be pulled back to ventilate
both lungs.
4
The infant may have a pneumothorax, and the health care
provider should be called so that corrective therapy can
be started immediately.
NSG 2400 Complications of Prematurity 3
