« previous next »

Author Question: A premature infant was delivered after a prolonged labor with rupture of the maternal membranes ... (Read 23 times)

haleyc112

  • Hero Member
  • *****
  • Posts: 600
on: Jun 28, 2018
A premature infant was delivered after a prolonged labor with rupture of the maternal membranes >18 hours. The infant's weight is 6 lb, 1 oz (2.75 kg). What assessment finding would require the nurse to intervene immediately?
 
  A.
  Blood pressure reading of 60/35 mm Hg
  B.
  Skin temperature reading of 96.8 F (36 C)
  C.
  Unconjugated bilirubin level of 1.0 mg/dL
  D.
  White blood cell count of 12,500/mm3

Question 2

A pediatric nurse sees a baby with microcephaly. What action is most important for this nurse to do?
 
  A.
  Assess the baby's feeding abilities with an adapted nipple.
  B.
  Document head circumference at each visit.
  C.
  Document weight gain at each visit.
  D.
  Review medication administration with parents.


kjo;oj

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
This infant is at risk for neonatal sepsis. Signs of this condition include hyperthermia or hypothermia, lethargy, hypoglycemia, and poor feeding. This child's skin temperature reading is below normal, requiring the nurse to intervene. The blood pressure reading is normal for a child of this weight. The two laboratory values are also normal.

Answer to Question 2

ANS: B
A baby with microcephaly has a head circumference 2 standard deviations below the mean for gestational age. It is crucial for the nurse to accurately and consistently measure and document the baby's head circumference at each visit. The baby does not need a special nipple. Documenting weight gain is important for every baby, but is not specific for this condition. There are no medications used to treat this condition.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

Glaucoma is a leading cause of blindness. As of yet, there is no cure. Everyone is at risk, and there may be no warning signs. It is six to eight times more common in African Americans than in whites. The best and most effective way to detect glaucoma is to receive a dilated eye examination.

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

The inheritance of snail coiling direction as an example of a maternal effect gene. The inheritance of snail coiling direction as an example of a maternal effect gene.
APGAR Scoring Mnemonic Maternal Nursing APGAR Scoring Mnemonic Maternal Nursing
Measuring the Head Circumference of an Infant or Small Child Measuring the Head Circumference of an Infant or Small Child
Perform Infant Rescue Breathing Perform Infant Rescue Breathing
Nebulized medications can also be delivered through a mask. Nebulized medications can also be delivered through a mask.
Video: Component of feedback systems & Communication and regulation of body systems

For a complete list of videos, visit our video library