C HAPTER 13: P RETERM AND P OST - TERM
N EWBORNS
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The nurse caring for an infant born at 36 weeks of gestation assesses
tremors and a weak cry. The nurse is aware that these symptoms ind icate
what?
a. Respiratory distress syndrome
b. Hypogl ycemia
c. Necrotizing enterocolitis
d. Renal failure
ANS: B
The preterm infant, before 38 weeks, should be assessed for
hypogl ycemia because the infants gl ycogen stores are not adequate.
DIF: Cognitive Level: An al ysis REF: Page 317 TOP:
Postterm Infant KEY: Nursing Process Step: Data Collection
MSC: NC LEX: Health Promotion and Maintenance:
Growth and Development
2. The mother of a 4 -month-old infant, born prematurel y, .asks the nurse if
her daughter will always be small for her age. What is the most
appropriate nursing response?
, a. Preterm infants usuall y remain smaller than term infants throughout
childhood.
b. Your daughter will be the same size as other children by the time
she is 1 year old.
c. Prematurit y is associ ated with short stature but does not affect
weight gain.
d. It takes about two years for the preterm infant to catch up to a full -
term infant.
ANS: D
In the absence of severe birth defects and complications, the growth
rate of the preterm newborn nears that of the term infant by about the
second year.
DIF: Cognitive Level: Application REF: Page 323 TOP:
Preterm Infant KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Growth and Development
3. The nurse caring for a p reterm infant will record the intake and output.
The nurse is aware that what is the optimum output for this infant?
a. 1 to 3 m L/kg/hr
b. 4 to 6 m L/kg/hr
c. 7 to 9 m L/kg/hr
d. 10 to 14 mL/kg/hr
ANS: A
The optimum output for a preterm infant is 1 to 3 mL/kg/hr.
, DIF: Cognitive Level: Comprehension REF: Page 319
TOP: Immature Kidneys KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Physiological Integrit y:
Physiological Adaptation
4. The nurse is caring for an infant born at 35 weeks of gestation. What
physical characteristic might the nurse expect this infant to exhibit?
a. Thin, long extremities
b. Large genitals for its size
c. Minimal vernix caseosa
d. Loose, transparent skin
ANS: D
The growth and development of the fetus are abruptl y halted by a
preterm birth. One of the characteristics of the preterm infant is skin
that is loose and transparent.
DIF: Cognitive Level: Comprehension REF: Page 312
TOP: Preterm Infant KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
5. The nurse in a pediatricians office is preparing to do a developmental
assessment on a 3-month-old infant who was born at 36 weeks. The nurse
knows that the infant should be evaluated in what month of achievement
to adjust for the preterm birth?
a. 1
b. 2
N EWBORNS
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The nurse caring for an infant born at 36 weeks of gestation assesses
tremors and a weak cry. The nurse is aware that these symptoms ind icate
what?
a. Respiratory distress syndrome
b. Hypogl ycemia
c. Necrotizing enterocolitis
d. Renal failure
ANS: B
The preterm infant, before 38 weeks, should be assessed for
hypogl ycemia because the infants gl ycogen stores are not adequate.
DIF: Cognitive Level: An al ysis REF: Page 317 TOP:
Postterm Infant KEY: Nursing Process Step: Data Collection
MSC: NC LEX: Health Promotion and Maintenance:
Growth and Development
2. The mother of a 4 -month-old infant, born prematurel y, .asks the nurse if
her daughter will always be small for her age. What is the most
appropriate nursing response?
, a. Preterm infants usuall y remain smaller than term infants throughout
childhood.
b. Your daughter will be the same size as other children by the time
she is 1 year old.
c. Prematurit y is associ ated with short stature but does not affect
weight gain.
d. It takes about two years for the preterm infant to catch up to a full -
term infant.
ANS: D
In the absence of severe birth defects and complications, the growth
rate of the preterm newborn nears that of the term infant by about the
second year.
DIF: Cognitive Level: Application REF: Page 323 TOP:
Preterm Infant KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Growth and Development
3. The nurse caring for a p reterm infant will record the intake and output.
The nurse is aware that what is the optimum output for this infant?
a. 1 to 3 m L/kg/hr
b. 4 to 6 m L/kg/hr
c. 7 to 9 m L/kg/hr
d. 10 to 14 mL/kg/hr
ANS: A
The optimum output for a preterm infant is 1 to 3 mL/kg/hr.
, DIF: Cognitive Level: Comprehension REF: Page 319
TOP: Immature Kidneys KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Physiological Integrit y:
Physiological Adaptation
4. The nurse is caring for an infant born at 35 weeks of gestation. What
physical characteristic might the nurse expect this infant to exhibit?
a. Thin, long extremities
b. Large genitals for its size
c. Minimal vernix caseosa
d. Loose, transparent skin
ANS: D
The growth and development of the fetus are abruptl y halted by a
preterm birth. One of the characteristics of the preterm infant is skin
that is loose and transparent.
DIF: Cognitive Level: Comprehension REF: Page 312
TOP: Preterm Infant KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
5. The nurse in a pediatricians office is preparing to do a developmental
assessment on a 3-month-old infant who was born at 36 weeks. The nurse
knows that the infant should be evaluated in what month of achievement
to adjust for the preterm birth?
a. 1
b. 2
