Care of Newborn

A nurse is teaching her patient about possible complications associated with the birth of a LGA infant. Which of the following is an incorrect statement?

• "Your baby is more likely to be hypoglycemic and could develop a blood disorder that makes him have too much blood in his circulation."

• "Your baby may present in a breech presentation."

• "Sometimes we have to induce LGA infant births with Oxytocin."

• "We will be very worried about your baby becoming hyperthermic."

A diabetic mother is very anxious and has requested information from the nurse about how her infant may be affected. Which of the following is NOT a complication seen in the infant of a diabetic mother (IDM)?

• a ruddy color to the baby with excessive fatty tissue

• a blood sugar below 45

• muscle tremors from hypercalcemia

• a high Hct level

A nurse is educating a group of women about pre and post-term newborns. Which of the following are complications in a postterm newborn? Select all that apply

• Polycythemia

• Hyperglycemia

• Cold stress

• Myconium asperation

Which of the following would be the nurse's priority in a preterm newborn?

• Heat loss

• Surfactant

  missing

• GI immaturity

• Immature kidneys

The following information is presented to a mother about PKU testing. Which piece of information is incorrect?

• PKU testing is done to test a newborn's metabolism

• PKU testing will be performed after 6 feedings or 24 hr

• A special diet that increases ingestion of phenylalanine may be implemented

• A baby may be placed on Lofenalac after this test

Which of the following signs and symptoms would indicate to the nurse that an infant is experiencing respiratory distress syndrome? Select all that apply

• intercostal and subcostal retractions

• bradypnea

• nasal flaring

• cyanosis

Untreated hyperbilirunemia may lead to:

• Hypoglycemia

• Coombs disease

• Kernicterus

• Phototherapy

When assessing the preterm infant the nurse understands that compared with the term infant, the preterm infant has:

• Few blood vessels visible through the skin.

• More subcutaneous fat.

• Well-developed flexor muscles.

• Less subcutaneous fat.

A premature infant with respiratory distress syndrome receives artificial surfactant. How would the nurse explain surfactant therapy to the parents?

• "Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon dioxide."

• "The drug keeps your baby from requiring too much sedation."

• "Surfactant is used to reduce episodes of periodic apnea."

• "Your baby needs this medication to fight a possible respiratory tract infection."

An infant at 26 weeks of gestation arrives intubated from the delivery room. The nurse weighs the infant, places him under the radiant warmer, and attaches him to the ventilator at the prescribed settings. A pulse oximeter and cardiorespiratory monitor are placed. The pulse oximeter is recording oxygen saturations of 80%. The prescribed saturations are 92%. The nurse's most appropriate action would be to:

• Listen to breath sounds and ensure the patency of the endotracheal tube, increase oxygen, and notify a physician.

• Continue to observe and make no changes until the saturations are 75%.

• Continue with the admission process to ensure that a thorough assessment is completed.

• Notify the parents that their infant is not doing well.