Chapter 29 The High-Risk Newborn: Problems Related to Gestational Age and
Development
Test Bank
MULTIPLE CHOICE
1. What is most helpful in preventing premature birth?
a. High socioeconomic status
b. Adequate prenatal care
c. Transitional Assistance to Needy Families
d. Women, Infants, and Children nutritional program
ANS: B
Feedback
A People with higher socioeconomic status are more likely to seek adequate
prenatal care. The care is the most helpful in prevention.
B Prenatal care is vital in identifying possible problems.
C Lower socioeconomic groups do not seek out health care, and that puts them at
risk for preterm labor.
D This aids in the nutritional status of the pregnant woman, but the most helpful
aid in prevention of premature births is adequate prenatal care.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 692
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Compared to the term infant, the preterm infant has
a. Few blood vessels visible though the skin
b. More subcutaneous fat
c. Well-developed flexor muscles
d. Greater surface area in proportion to weight
ANS: D
Feedback
A Preterm infants have greater surface area in proportion to their weight.
B This is an indication of a more mature infant.
C This is an indication of a more mature infant.
D Preterm infants have greater surface area in proportion to their weight.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 693
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
3. Decreased surfactant production in the preterm lung is a problem because surfactant
a. Causes increased permeability of the alveoli
b. Provides transportation for oxygen to enter the blood supply
c. Keeps the alveoli open during expiration
, d. Dilates the bronchioles, decreasing airway resistance
ANS: C
Feedback
A Surfactant prevents the alveoli from collapsing.
B By keeping the alveoli open, it permits better oxygen exchange, but that is not its
main purpose.
C Surfactant prevents the alveoli from collapsing each time the infant exhales, thus
reducing the work of breathing.
D It does not affect the bronchioles.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 692
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
4. An infant girl is preterm and on a respirator with intravenous lines and much equipment
around her when her parents come to visit for the first time. It is important for the nurse
to
a. Suggest that the parents visit for only a short time to reduce their anxieties.
b. Reassure the parents that the baby is progressing well.
c. Encourage the parents to touch her.
d. Discuss the care they will give her when she goes home.
ANS: C
Feedback
A Bonding needs to occur, and this can be fostered by encouraging the parents to
spend time with the infant.
B It is important to keep the parents informed about the infant’s progression, but
the nurse needs to be honest with the explanations.
C Physical contact with the infant is important to establish early bonding. The
nurse as the support person and teacher is responsible for shaping the
environment and making the care giving responsive to the needs of both the
parents and the infant. This is the most appropriate response by the nurse.
D This is an important part of parent teaching, but it is not the most important
priority during the first visit.
PTS: 1 DIF: Cognitive Level: Application REF: p. 705
OBJ: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
5. Late preterm infants need closer monitoring during her hospital stay than term infants. In
order to prevent unrecognized cold-stress the nurse should perform all except
a. Wean the infant to an open crib.
b. Check temperature every 3 to 4 hours.
c. Encourage kangaroo care.
d. Place infant on a radiant warmer.
ANS: A
Feedback
Development
Test Bank
MULTIPLE CHOICE
1. What is most helpful in preventing premature birth?
a. High socioeconomic status
b. Adequate prenatal care
c. Transitional Assistance to Needy Families
d. Women, Infants, and Children nutritional program
ANS: B
Feedback
A People with higher socioeconomic status are more likely to seek adequate
prenatal care. The care is the most helpful in prevention.
B Prenatal care is vital in identifying possible problems.
C Lower socioeconomic groups do not seek out health care, and that puts them at
risk for preterm labor.
D This aids in the nutritional status of the pregnant woman, but the most helpful
aid in prevention of premature births is adequate prenatal care.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 692
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Compared to the term infant, the preterm infant has
a. Few blood vessels visible though the skin
b. More subcutaneous fat
c. Well-developed flexor muscles
d. Greater surface area in proportion to weight
ANS: D
Feedback
A Preterm infants have greater surface area in proportion to their weight.
B This is an indication of a more mature infant.
C This is an indication of a more mature infant.
D Preterm infants have greater surface area in proportion to their weight.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 693
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
3. Decreased surfactant production in the preterm lung is a problem because surfactant
a. Causes increased permeability of the alveoli
b. Provides transportation for oxygen to enter the blood supply
c. Keeps the alveoli open during expiration
, d. Dilates the bronchioles, decreasing airway resistance
ANS: C
Feedback
A Surfactant prevents the alveoli from collapsing.
B By keeping the alveoli open, it permits better oxygen exchange, but that is not its
main purpose.
C Surfactant prevents the alveoli from collapsing each time the infant exhales, thus
reducing the work of breathing.
D It does not affect the bronchioles.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 692
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
4. An infant girl is preterm and on a respirator with intravenous lines and much equipment
around her when her parents come to visit for the first time. It is important for the nurse
to
a. Suggest that the parents visit for only a short time to reduce their anxieties.
b. Reassure the parents that the baby is progressing well.
c. Encourage the parents to touch her.
d. Discuss the care they will give her when she goes home.
ANS: C
Feedback
A Bonding needs to occur, and this can be fostered by encouraging the parents to
spend time with the infant.
B It is important to keep the parents informed about the infant’s progression, but
the nurse needs to be honest with the explanations.
C Physical contact with the infant is important to establish early bonding. The
nurse as the support person and teacher is responsible for shaping the
environment and making the care giving responsive to the needs of both the
parents and the infant. This is the most appropriate response by the nurse.
D This is an important part of parent teaching, but it is not the most important
priority during the first visit.
PTS: 1 DIF: Cognitive Level: Application REF: p. 705
OBJ: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
5. Late preterm infants need closer monitoring during her hospital stay than term infants. In
order to prevent unrecognized cold-stress the nurse should perform all except
a. Wean the infant to an open crib.
b. Check temperature every 3 to 4 hours.
c. Encourage kangaroo care.
d. Place infant on a radiant warmer.
ANS: A
Feedback
