Hypoglycemia in a mature infant is defined
as a blood glucose level below which
Quiz 1 (Preterm to Respi Disease)
SET A
A preterm infant is transferred to a distant
hospital for care. When her parents visit her,
which action would be most important for
the nurse to urge them to do?
A. Call the baby by her name
B. Stand so the baby can see them
C. Touch and if possible hold her
D. Bring a piece of clothing for her
A premature infant develops RDS. With this
condition, circulatory impairment is likely to
occur because with increased lung tension,
the:
A. Ductus arteriosus remains open
B. Aorta or aortic valve strictures
C. Foramen ovale closes prematurely
D. Pulmonary artery closes
A common symptom that would alert the
nurse that a preterm infant is developing
respiratory distress syndrome is
A. Inspiratory stridor
B. Expiratory wheezing
C. Expiratory grunting
D. Inspiratory “crowing”
A preterm infant has difficulty initiation
ventilation. In light of her lung pathology,
which additional ventilatory measure would
you anticipate planning?
A. Adm. of chilled O2 to reduce lung
spasm
B. Adm. of dry O2 to avoid over-
humidification
C. Low inspiratory pressure; high
expiratory pressure
D. Positive end-expiratory pressure
to increase oxygenation
With the administration of oxygen, a preterm
infant`s PaO2 level is monitored carefully. It
is important to keep this level under which
value to help prevent retinopathy of
prematurity?
A. 40 mmHg
B. 100 mmHg
C. 50 mmHg
D. 180 mmHg
All infants need to be observed for
hypoglycemia during the newborn period.
Based on the facts obtained from pregnancy
histories, which infant would be most likely
to develop hypoglycemia?
A. An infant whose labor began with
ruptured membranes
B. An infant who had difficulty
establishing respiration at birth
C. An infant who has marked
acrocyanosis of his hands and feet
D. An infant whose mother craved
chocolates during pregnancy
amount?
A. 100 mg/ 100 ml whole blood
B. 40 mg/ 100 ml whole blood
C. 80 mg/ 100 ml whole blood
D. 30 mg/ 100 ml whole blood
A newborn does not breathe spontaneously
at birth. The nurse administers oxygen by
bag and mask. If oxygen is entering lungs,
the nurse should notice that the:
A. Abdomen rises while the chest
falls with bag compression
B. Infant`s neck veins become
prominent and palpable
C. Infant`s pupil dilate after 3 minutes
D. Chest rises with each bag
compression
The result of an amniocentesis conducted
just prior to birth showed a fetus` lecitihin/
sphingomyelin ratio as being 1:1. From this
information, for which respiratory problem
should the nurse anticipate providing care
once the baby is delivered?
A. Alveolar collapse on expiration
B. Wheezing from excessive fluid
accumulation
C. Bronchial constriction from room air
D. Inspiratory constriction from air
contaminants
While providing care, the nurse suspects
that a preterm infant is developing RDS.
The nurse most likely assess in this patient,
EXCEPT?
A. Grunting
B. Intercostal retractions
C. Nasal Flaring
D. Oxygen Saturation 96%
A form of chronic lung disease resulting
from damage to the lungs caused by
mechanical ventilation and long-term use of
oxygen.
A. Pulmonary interstitial emphysema
B. Pneumonia
C. Sepsis
D. Bronchopulmonary dysplasia
The most common neonatal sepsis
infections seen within 24 hours after birth
are caused by which organism?
A. Candida albicans
B. Eschericha Coli
C. Chlamydia trachomatis
D. Group B beta-hemolytic
streptococci
Immediately after birth, a preterm infant is
placed in a radiant heat warmer. For which
nursing diagnosis is this intervention
addressing.
A. Ineffective thermoregulation
related to immaturity
 B. Risk for imbalance nutrition, less
than body requirements
C. Risk for deficient fluid volume related
to insensitive water loss
D. Impaired gas exchange related to
immature pulmonary functioning
Nurse May is monitoring a 33 week old
newborn infant Raphael for respiratory
distress syndrome. Which assessment sign
if noticed would alert the nurse to the
possibility of their syndrome?
A. Hypotension and Bradycardia
B. Acrocyanosis and grunting
C. Tachypnea and retractions
D. The presence of barrel chest with
grunting
On assessment that the preterm infant,
nurse Grace noticed that the infant was
exhibiting signs of cyanosis, tachypnea, and
replacement therapy. The nurse would
prepare to administer this therapy for:
A. Subcutaneous injection
B. Instillation an endotracheal tube
C. Intravenous injection
D. Inhalation through CPAP
A nurse in a newborn nursery receives a
phone call to prepare for the admission of a
43-week-gestation newborn with Apgar
scores of 1 and 4. In planning for the
admission of this infant,, the nurse`s highest
priority should be to:
A. Connect the resuscitation bag to
the oxygen outlet  *Sa set B kay Increased level of RBC ni
B. Turn on cardiorespiratory monitors
C. Set up intravenous line with 5%
dextrose in water
D. Set the radiant warmer at 36.5℃ to
keep baby warm
Which action best explains the significance
of surfactant in the newborn?
A. Assists with ciliary body maturation
in the upper airways
B. Helps maintain a rhythmic
respiratory pattern
C. Helps lungs remain expanded
after the initiation of breathing
D. Promotes clearing mucus from the
respiratory tract
In caring for the preterm infant, what
complication is thought to be a result of high
arterial blood oxygen level?
A. Necrotizing enterocolitis (NEC)
B. Bronchopulmonary dysplasia (BPD)
C. Retinopathy of prematurity (ROP)
D. Intraventricular hemorrhage (IVH)
A pregnant woman at 37 weeks of gestation
has had a ruptured membranes for 26
hours. A cesarean section is performed for
failure to progress, with Apgar scores of 6
and 7 at 1 and 5 minutes noted to be pale
and tachypneic. On the basis of the
maternal history, the cause of this
newborn`s distress is most likely to be:
A. Hypoglycemia
B. Respiratory distress syndrome
C. Phrenic nerve injury
D. Sepsis
An infant admitted to the newborn nursery
has a blood glucose level of 35 mg/dL. The
infant is said to have a 
A. Normal glucose level
B. Moderate hypoglycemia
C. Mild hypoglycemia
D. Severe hypoglycemia
The nurse is aware of the associated
adverse effects of Indomethacin when given
to preterm infants. Which of the following
nursing actions is the LEAST significant?
A. Asses the IVF insertion site for
bleeding
B. Measure the head circumference
for signs of hydrocephalus
C. Monitor the urine output
D. Check for petechiae
Anemia of prematurity occurs from a
combination of the following EXCEPT:
A. Short lifespan of RBCs
B. Low iron stores*
C. Destruction of RBCs due to high
levels of vitamin 
D. Immaturity of the hematopoietic
system
Is characterized by variable damage to the
intestinal tract, ranging from mucosal injury
to full-thickness necrosis and perforation.
A. Necrotizing enterocolitis
B. Intraventricular Hemorrhage
C. Retinopathy of prematurity
D. Peritonitis
Lanugo is extensive in late preterm babies
A. True
B. Fals
The baby is born at 29 weeks AOG and is
classified as extremely preterm
A. True
B. False