A 3-month-old, former 25-week premature baby has been exposed to ...

[shenderson6]

A 3-month-old, former 25-week premature baby has been exposed to prolonged oxygen therapy. Due to oxygen therapy, the nurse explains to the parents, their infant is at a higher risk for:
 
  1. Visual impairment.
  2. Hypercalcemia.
  3. Cerebral palsy.
  4. Sensitive gag reflex.

Question 2

During a nonstress test, the nurse notes that the fetal heart rate decelerates about 15 beats during a period of fetal movement. The decelerations occur twice during the test, and last 20 seconds each.
 
  The nurse realizes these results will be interpreted as: 1. A negative test.
  2. A reactive test.
  3. A nonreactive test.
  4. An equivocal test.

[softEldritch]

Answer to Question 1

1
Rationale:
1. Premature infants are at greater risk for developing complications related to prolonged oxygen therapy, such as retinopathy, which can lead to visual impairment.
2. Hypocalcemia is more common in premature infants.
3. Cerebral palsy can be due to decreased oxygen.
4. An absent or decreased gag reflex is more common in premature infants.

Answer to Question 2

3
Rationale:
1. Nonstress tests are scored as either reactive or nonreactive.
2. A reactive stress test has the expected results of an increase in heart rate of 15 beats per minutes for 15 seconds or more.
3. Nonstress tests are scored as either reactive or nonreactive. In a nonreactive stress test, the reactivity criteria are not met. Since this client experienced a deceleration during the test, this is considered nonreactive.
4. Since this client experienced a deceleration during the test, this is considered nonreactive, not equivocal.