An infant is being discharged from the neonatal intensive care ...

[madam-professor]

An infant is being discharged from the neonatal intensive care unit after 70 days of hos-pitalization.
 
  The infant was born at 30 weeks of gestation with several conditions asso-ciated with prematurity, including respiratory distress syndrome, mild bronchopulmonary dysplasia, and retinopathy of prematurity requiring surgical treatment. During discharge teaching the infant's mother asks the nurse if her baby will meet developmental miles-tones on time, as did her son who was born at term. The nurse's most appropriate re-sponse would be: a. Your baby will develop exactly like your first child did.
  b. Your baby does not appear to have any problems at the present time.
  c. Your baby will need to be corrected for prematurity. Your baby is currently 40 weeks of postconceptional age and can be expected to be doing what a 40-week-old infant would be doing.
  d. Your baby will need to be followed very closely.

Question 2

A 3-year-old child is lying in a fetal position. The child has pale skin, glassy eyes, and a flat affect. The child is irritable, and refuses food and fluids.
 
  The child's vital signs are a temperature of 40.1C (104.2F), pulse of 120/minute, and respirations of 28/minute. The best, most comprehensive description of this child's condition is:
  1. Toxic.
  2. Feverish.
  3. Flushed.
  4. Tired.

[SeanoH09]

Answer to Question 1

C

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A Although it is impossible to predict with complete accuracy the growth and de-velopment potential of each preterm infant, certain measurable factors predict normal growth and development. The preterm infant experiences catch-up body growth during the first 2 to 3 years of life. The growth and developmental mi-lestones are corrected for gestational age until the child is approximately 2 years old.
B This statement is inaccurate. Development will need to be evaluated over time.
C The age of a preterm newborn is corrected by adding the gestational age and the postnatal age. The infant's responses are evaluated accordingly against the norm expected for the corrected age of the infant.
D The growth and developmental milestones are corrected for gestational age until the child is approximately 2 years old.

Answer to Question 2

1
Rationale:
1. The child with a high temperature, lethargy, irritability, poor skin perfusion, hypoventilation or hyperventilation, and cyanosis is described as having a toxic appearance.
2. The child has a high fever, but feverish is not the best, most comprehensive description of the child's condition.
3. The term flushed is incorrect because it indicates a reddish appearance to the skin. The child has pale skin, which would be a white appearance to the skin.
4. The child might be tired, but tired is not the best, most comprehensive description of the child's condition.

[madam-professor]

Thanks for the timely response, appreciate it

[debra928]

Excellent