Chapter 34: Nursing Care of the High Risk Newborn
(Lowdermilk) Exam Questions Correctly Answered.
1. On day 3 of life, a newborn continues to require ANS: D
100% oxygen by nasal cannula. The parents ask
if they may hold their infant during his next Physical contact with
gavage feeding. Con- sidering that this the infant is important
newborn is physiologically stable, what to es- tablish early
response should the nurse provide? bonding. The nurse as
the support per-
a. "Parents are not allowed to hold their infants who are son and
teacher is re-
dependent on oxygen." sponsible for shaping
b. "You may only hold your baby's hand the environment and
during the feeding." making the caregiving
c. "Feedings cause more physiologic stress; responsive to the
therefore, the baby must be closely monitored. I needs of both the
don't think you should hold the baby." parents and the infant.
d. "You may hold your baby during the Al- lowing the parents
feeding."
to hold their baby is
the most ap- propriate
response by the nurse.
Parental interac- tion
by holding should be
encouraged during
gav- age feedings;
nasal can- nula
oxygen therapy al-
lows for easy feedings
and psychosocial
interactions. The
parent can swaddle
the infant or provide
kan- garoo care while
gavage feeding their
1/
37
, Chapter 34: Nursing Care of the High Risk Newborn
(Lowdermilk) Exam Questions Correctly Answered.
infant. Both swaddling and kangaroo care during feedings pro- vide
positive interactions for the infant and help the infant associate feedings
with positive interactions.
2/
37
, Chapter 34: Nursing Care of the High Risk Newborn
(Lowdermilk) Exam Questions Correctly Answered.
2. A premature infant with respiratory distress syndrome ANS: A
(RDS) receives artificial surfactant. How does the nurse
explain surfactant therapy to the Surfactant can be
parents? adminis- tered as an
adjunct to oxy-
a. "Surfactant improves the ability of your baby's lungs gen and
ventilation thera-
to exchange oxygen and carbon dioxide." py. With the
administration
b. "The drug keeps your baby from requiring too much of an
artificial surfactant,
sedation." respiratory
c. "Surfactant is used to reduce episodes compliance is
of periodic apnea." improved until the
infant can generate
enough sur-
d. "Your baby needs this medication to fight a possible factant on
his or her own.
respiratory tract
infection."
3.
3/
37
, Chapter 34: Nursing Care of the High Risk Newborn
(Lowdermilk) Exam Questions Correctly Answered.
Surfactant has no bear- ing on the
sedation needs of the infant. Surfactant
is used to improve respira- tory
compliance, including the exchange of
oxygen and carbon dioxide. The goal
of surfactant thera- py in an infant
with RDS
is to stimulate the produc- tion of
surfactant in the type 2 cells of the
alve- oli. The clinical presenta- tion of
RDS and neonatal pneumonia may
be simi- lar. The infant may be start- ed
on broad-spectrum an- tibiotics to treat
infection.
4/
37
(Lowdermilk) Exam Questions Correctly Answered.
1. On day 3 of life, a newborn continues to require ANS: D
100% oxygen by nasal cannula. The parents ask
if they may hold their infant during his next Physical contact with
gavage feeding. Con- sidering that this the infant is important
newborn is physiologically stable, what to es- tablish early
response should the nurse provide? bonding. The nurse as
the support per-
a. "Parents are not allowed to hold their infants who are son and
teacher is re-
dependent on oxygen." sponsible for shaping
b. "You may only hold your baby's hand the environment and
during the feeding." making the caregiving
c. "Feedings cause more physiologic stress; responsive to the
therefore, the baby must be closely monitored. I needs of both the
don't think you should hold the baby." parents and the infant.
d. "You may hold your baby during the Al- lowing the parents
feeding."
to hold their baby is
the most ap- propriate
response by the nurse.
Parental interac- tion
by holding should be
encouraged during
gav- age feedings;
nasal can- nula
oxygen therapy al-
lows for easy feedings
and psychosocial
interactions. The
parent can swaddle
the infant or provide
kan- garoo care while
gavage feeding their
1/
37
, Chapter 34: Nursing Care of the High Risk Newborn
(Lowdermilk) Exam Questions Correctly Answered.
infant. Both swaddling and kangaroo care during feedings pro- vide
positive interactions for the infant and help the infant associate feedings
with positive interactions.
2/
37
, Chapter 34: Nursing Care of the High Risk Newborn
(Lowdermilk) Exam Questions Correctly Answered.
2. A premature infant with respiratory distress syndrome ANS: A
(RDS) receives artificial surfactant. How does the nurse
explain surfactant therapy to the Surfactant can be
parents? adminis- tered as an
adjunct to oxy-
a. "Surfactant improves the ability of your baby's lungs gen and
ventilation thera-
to exchange oxygen and carbon dioxide." py. With the
administration
b. "The drug keeps your baby from requiring too much of an
artificial surfactant,
sedation." respiratory
c. "Surfactant is used to reduce episodes compliance is
of periodic apnea." improved until the
infant can generate
enough sur-
d. "Your baby needs this medication to fight a possible factant on
his or her own.
respiratory tract
infection."
3.
3/
37
, Chapter 34: Nursing Care of the High Risk Newborn
(Lowdermilk) Exam Questions Correctly Answered.
Surfactant has no bear- ing on the
sedation needs of the infant. Surfactant
is used to improve respira- tory
compliance, including the exchange of
oxygen and carbon dioxide. The goal
of surfactant thera- py in an infant
with RDS
is to stimulate the produc- tion of
surfactant in the type 2 cells of the
alve- oli. The clinical presenta- tion of
RDS and neonatal pneumonia may
be simi- lar. The infant may be start- ed
on broad-spectrum an- tibiotics to treat
infection.
4/
37
