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Surfactant replacement therapy is used in the medical management of:
A: Bronchopulmonary dysplasia (BPD)
B: Patent ductus arteriosus (PDA)
C: Respiratory distress syndrome (RDS)
D: Necrotizing enterocolitis (NEC) - 🧠 ANSWER ✔✔C: Respiratory distress
syndrome (RDS)
Which intervention is the most important to prevent necrotizing enterocolitis?
A: Exclusive human milk feeding
B: Surfactant
,C: Oxygen
D: Ventilator support - 🧠 ANSWER ✔✔A: Exclusive human milk feeding
Which type of IUGR has better developmental outcomes?
A: Asymmetric
B: Symmetric - 🧠 ANSWER ✔✔A: Asymmetric
Weight is the only abnormal measurement
A macrosomic infant is born after a difficult forceps-assisted delivery. After
stabilization the infant is weighed, and the birth weight is 4550 g (9 pounds, 6
ounces). The nurse's most appropriate action is to:
a. Leave the infant in the room with the mother.
b. Take the infant immediately to the nursery.
c. Perform a gestational age assessment to determine whether the infant is large for
gestational age.
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,d. Monitor blood glucose levels frequently and observe closely for signs of
hypoglycemia. - 🧠 ANSWER ✔✔d. Monitor blood glucose levels frequently and
observe closely for signs of hypoglycemia.
(This infant is macrosomic (more than 4000 g) and is at high risk for
hypoglycemia. Blood glucose levels should be monitored frequently, and the infant
should be observed closely for signs of hypoglycemia. Observation may occur in
the nursery or in the mother's room, depending on the condition of the fetus.
Regardless of gestational age, this infant is macrosomic.)
Infants of mothers with diabetes (IDMs) are at higher risk for developing:
a. Anemia.
b. Hyponatremia.
c. Respiratory distress syndrome.
d. Sepsis. - 🧠 ANSWER ✔✔c. Respiratory distress syndrome.
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, (IDMs are at risk for macrosomia, birth injury, perinatal asphyxia, respiratory
distress syndrome, hypoglycemia, hypocalcemia, hypomagnesemia,
cardiomyopathy, hyperbilirubinemia, and polycythemia. They are not at risk for
anemia, hyponatremia, or sepsis.)
An infant was born 2 hours ago at 37 weeks of gestation and weighing 4.1 kg. The
infant appears chubby with a flushed complexion and is very tremulous. The
tremors are most likely the result of:
a. Birth injury.
b. Hypocalcemia.
c. Hypoglycemia
d. Seizures. - 🧠 ANSWER ✔✔c. Hypoglycemia
(Hypoglycemia is common in the macrosomic infant. Signs of hypoglycemia
include jitteriness, apnea, tachypnea, and cyanosis.)
When assessing the preterm infant the nurse understands that compared with the
term infant, the preterm infant has:
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