High-Risk Neonatal Nursing Care exam |63|questions with correct answers

High-Risk Neonatal Nursing Care exam |63|questions with correct answers A nurse is assessing a preterm baby with a gestational age of 32 weeks and birth weight of 1,389 grams. Which of the following signs if present would be a possible indication of RDS. A. Expiratory grunting and intercostal retractions. B. Respiratory rate of 46 breaths per minute and presence of acrocyanosis. C. Mild nasal flaring and heart rate of 140 beats per minute. D. Bradycardia and bounding pulse - Correct Answer A. Expiratory grunting and intercostal retractions The primary risk factor for necrotizing enterocolitis is A. Early oral feedings with formula B. Passage of meconium during labor C. Prematurity D. Low birth weight - Correct Answer C. Prematurity A common characteristic of a premature infant is A. Absence lanugo B. Dry skin C. Increased flexion of arms and legs D. Transparent and red skin - Correct Answer D. Transparent and red skin When gavage feeding a preterm neonate, the nurse should A. measure the tube before insertion from the mouth to the sternum B. Check for placement by injecting a small amount of sterile water into the feeding tube and listen for a gurgling noise C. Instill formula over a 20 minute period of time D. Flush the tube at the end of feeding with dextrose water. - Correct Answer C. Instill formula over a 20 minute period of time Which of the following statements is true regarding hyperbilirubinemia? A. Jaundice covers the entire body in pathological jaundice versus only the face in physiological jaundice. B. Jaundice occurs within the first 24 hours post birth in pathological jaundice versus after 24 hours in physiological jaundice. C. Kernicterus only occurs in pathological jaundice. D. Jaundice begins to appear