NSPN 7200 Final | Assessment Questions and Answers with 100% Correct
Answers | Latest Version Already Graded A+
When are corticosteroids administered for PTL(What gestation typically) - (ANSWER)Women at risk for
PTL between 24-34 weeks gestation but can be used as early as 22 weeks if resuscitation and intensive
care is planned
When will antibiotics be ordered for PTL - (ANSWER)if membranes are ruptured, GBS+, GBS status is
unknown
What is the usual antibiotic ordered in PTL - (ANSWER)Penicillin
What is Magnesium Sulphate given for in PTL for? And when is it given? - (ANSWER)Neuroprotective
agent and administered at <34 weeks and birth is imminent (likelihood of delivering in 24 hours)
How is imminent birth defined? - (ANSWER)High likelihood of birth within 24 hours due to either active
labour (cervix >4cm dilated) or planned preterm delivery for maternal/fetal conditions
Other than when signs of toxicity exist when should MgSO4 treatment be discontinued in relation to PTL
- (ANSWER)When delivery is no longer imminent, or there has been 24 hours of MgSO4 treatment
Name 4 minor side effects of MgSO4 - (ANSWER)Flushing, burning at IV site, metallic taste on tongue,
sweating, N&V
Name 4 serious side effects of MgSO4 - (ANSWER)Respiratory depression, absent refexes, hypotension,
tachycardia, pulmonary edema
Identify two potential neonatal affects(related to high doses of MgSO4) - (ANSWER)Hypotonia and
Apnea
Physical Activity and Food can increase someones chances of delivering a preterm baby -
(ANSWER)FALSE. They pose no risk to preterm labour
,NSPN 7200 Final | Assessment Questions and Answers with 100% Correct
Answers | Latest Version Already Graded A+
Nursing Implications for Preterm Labour - (ANSWER)Ongoing assessment of maternal/fetal wellbeing,
medication admin, communication with interprofessional team, preparing for delivery
How may assessments differ in PTL during labour - (ANSWER)May be difficult to palpate uterine
contractions depending on gestational age and size of womens abdomen.
Notify NICU Resus team
Ensure all equipment is ready and in the room and appropriate to babies size
PTL can progress quickly so be prepared!
Preterm:At what gestational age should the baseline rate and variability be similar to a term fetus -
(ANSWER)32 weeks
Would you expect the baseline FHR of a preterm fetus at 28 weeks gestation to be higher or lower FHR
than a term fetus. - (ANSWER)Higher. This is related to maturity of the central and autonomic nervous
systems and cardiovascular systems. The sympathetic nervous system, which increases heart rate,
matures before the parasympathetic system which slows heart rate. As the fetus matures, the baseline
heart rate will decrease and the heart rate variability will increase.
Why might you see more cord compression (Baroreceptor response) in a preterm fetus - (ANSWER)There
is less Wharton's jelly protecting the umbilical cord as the fetus moves around.
Extremely Preterm - (ANSWER)28 weeks gestation
Moderately Preterm - (ANSWER)28-34 weeks gestation
Late Preterm - (ANSWER)34-36+6 weeks gestation
, NSPN 7200 Final | Assessment Questions and Answers with 100% Correct
Answers | Latest Version Already Graded A+
List some potential health consequences for the preterm infant - (ANSWER)Respiratory distress,
asphyxia, ineffective thermoregulation, feeding problems, infection, hyperbilirubinemia, metabolic
disturbances, fluid and electrolyte imbalances, neurologic and behavioural problems, nutritional deficits,
chronic respiratory disease, cardiovascular disease, hematologic disturbances
What does PWSCOA mean - (ANSWER)Pink- Establish and maintain respirations
Warm- Ability to regulate temperature
Sweet- Maintain blood sugar
Clean- Employ infection prevention strategies
Organized- Maintain an optimum state
Attached- Promote attachment with family
How does PWSCOA affect care for the preterm neonate - (ANSWER)Pink-RDS due to surfactant
deficiency, and respiratory support
Warm: Very thin skin and do not have sufficient brown fat stores to create a sufficient heat production
response
Sweet: Low glycogen stores, high energy expenditures (increased work of breathing), low caloric intake,
which places them at risk for hypoglycemia, and not able to coordinate suck, swallow and breathing
required for oral feeding
Organized: Face challenges due to immature organ systems and the high stress environment where their
care takes place
Attached: Skin to skin, Kangaroo care can improve physiologic stability, improve sleep/wake cycles,
reduce stress and crying, reduce pain and facilitate neurodevelopment and maturation in the neonate
Clean: Due to an immature immune system, frequent interventions and multiple care providers they are
at increased risk for infection
Mothers of preterm infants experience higher levels of ___________ - (ANSWER)postpartum depression,
distress, anxiety, and post traumatic stress
Is the breast milk a woman produces when she has a preterm infant different than the milk she produces
for a term infant? - (ANSWER)YES! Preterm breastmilk has increased protein content, lipid content that is
more specific for a preterm infant, and higher IgA concentration. And the predominant whey protein of
Answers | Latest Version Already Graded A+
When are corticosteroids administered for PTL(What gestation typically) - (ANSWER)Women at risk for
PTL between 24-34 weeks gestation but can be used as early as 22 weeks if resuscitation and intensive
care is planned
When will antibiotics be ordered for PTL - (ANSWER)if membranes are ruptured, GBS+, GBS status is
unknown
What is the usual antibiotic ordered in PTL - (ANSWER)Penicillin
What is Magnesium Sulphate given for in PTL for? And when is it given? - (ANSWER)Neuroprotective
agent and administered at <34 weeks and birth is imminent (likelihood of delivering in 24 hours)
How is imminent birth defined? - (ANSWER)High likelihood of birth within 24 hours due to either active
labour (cervix >4cm dilated) or planned preterm delivery for maternal/fetal conditions
Other than when signs of toxicity exist when should MgSO4 treatment be discontinued in relation to PTL
- (ANSWER)When delivery is no longer imminent, or there has been 24 hours of MgSO4 treatment
Name 4 minor side effects of MgSO4 - (ANSWER)Flushing, burning at IV site, metallic taste on tongue,
sweating, N&V
Name 4 serious side effects of MgSO4 - (ANSWER)Respiratory depression, absent refexes, hypotension,
tachycardia, pulmonary edema
Identify two potential neonatal affects(related to high doses of MgSO4) - (ANSWER)Hypotonia and
Apnea
Physical Activity and Food can increase someones chances of delivering a preterm baby -
(ANSWER)FALSE. They pose no risk to preterm labour
,NSPN 7200 Final | Assessment Questions and Answers with 100% Correct
Answers | Latest Version Already Graded A+
Nursing Implications for Preterm Labour - (ANSWER)Ongoing assessment of maternal/fetal wellbeing,
medication admin, communication with interprofessional team, preparing for delivery
How may assessments differ in PTL during labour - (ANSWER)May be difficult to palpate uterine
contractions depending on gestational age and size of womens abdomen.
Notify NICU Resus team
Ensure all equipment is ready and in the room and appropriate to babies size
PTL can progress quickly so be prepared!
Preterm:At what gestational age should the baseline rate and variability be similar to a term fetus -
(ANSWER)32 weeks
Would you expect the baseline FHR of a preterm fetus at 28 weeks gestation to be higher or lower FHR
than a term fetus. - (ANSWER)Higher. This is related to maturity of the central and autonomic nervous
systems and cardiovascular systems. The sympathetic nervous system, which increases heart rate,
matures before the parasympathetic system which slows heart rate. As the fetus matures, the baseline
heart rate will decrease and the heart rate variability will increase.
Why might you see more cord compression (Baroreceptor response) in a preterm fetus - (ANSWER)There
is less Wharton's jelly protecting the umbilical cord as the fetus moves around.
Extremely Preterm - (ANSWER)28 weeks gestation
Moderately Preterm - (ANSWER)28-34 weeks gestation
Late Preterm - (ANSWER)34-36+6 weeks gestation
, NSPN 7200 Final | Assessment Questions and Answers with 100% Correct
Answers | Latest Version Already Graded A+
List some potential health consequences for the preterm infant - (ANSWER)Respiratory distress,
asphyxia, ineffective thermoregulation, feeding problems, infection, hyperbilirubinemia, metabolic
disturbances, fluid and electrolyte imbalances, neurologic and behavioural problems, nutritional deficits,
chronic respiratory disease, cardiovascular disease, hematologic disturbances
What does PWSCOA mean - (ANSWER)Pink- Establish and maintain respirations
Warm- Ability to regulate temperature
Sweet- Maintain blood sugar
Clean- Employ infection prevention strategies
Organized- Maintain an optimum state
Attached- Promote attachment with family
How does PWSCOA affect care for the preterm neonate - (ANSWER)Pink-RDS due to surfactant
deficiency, and respiratory support
Warm: Very thin skin and do not have sufficient brown fat stores to create a sufficient heat production
response
Sweet: Low glycogen stores, high energy expenditures (increased work of breathing), low caloric intake,
which places them at risk for hypoglycemia, and not able to coordinate suck, swallow and breathing
required for oral feeding
Organized: Face challenges due to immature organ systems and the high stress environment where their
care takes place
Attached: Skin to skin, Kangaroo care can improve physiologic stability, improve sleep/wake cycles,
reduce stress and crying, reduce pain and facilitate neurodevelopment and maturation in the neonate
Clean: Due to an immature immune system, frequent interventions and multiple care providers they are
at increased risk for infection
Mothers of preterm infants experience higher levels of ___________ - (ANSWER)postpartum depression,
distress, anxiety, and post traumatic stress
Is the breast milk a woman produces when she has a preterm infant different than the milk she produces
for a term infant? - (ANSWER)YES! Preterm breastmilk has increased protein content, lipid content that is
more specific for a preterm infant, and higher IgA concentration. And the predominant whey protein of
