A nurse is assessing a premature newborn for the possibility of ...

[HCHenry]

A nurse is assessing a premature newborn for the possibility of necrotizing enterocolitis (NEC). Which assessment findings should the nurse expect to find if NEC is confirmed? (Select all that apply.)
 
  a. Minimal gastric residual
  b. Abdominal distention
  c. Apnea
  d. Urinary output at 2 ml/kg/hr
  e. Unstable temperature

Question 2

A nurse is planning care for a premature newborn. Which interventions should the nurse implement for skin care? (Select all that apply.)
 
  a. Use cleaning agents with neutral pH.
  b. Rub skin during drying.
  c. Use adhesive remover solvent when removing tape.
  d. Avoid removing adhesives for at least 24 hours.
  e. Consider pectin barriers beneath adhesives.

[Ashley I]

Answer to Question 1

ANS: B, C, E
The nurse should observe for indications of early development of NEC by checking the appearance of the abdomen for distention (measuring abdominal girth, measuring residual gastric contents before feedings, and listening for bowel sounds) and performing all routine assessments for high-risk neonates. The premature newborn may have apnea and unstable temperature if NEC is developing. The urinary output will be decreased and will be below the expected 2 ml/kg/hr.

Answer to Question 2

ANS: A, D, E
The skin care for a premature newborn should include use of pH-neutral cleanser or soaps no more than two or three times a week. Adhesives should not be removed for at least 24 hours after application. Pectin barriers should be used beneath adhesives to protect skin. Avoid rubbing skin during bathing or drying. Do not use adhesive remover, solvents, or bonding agents. Adhesive removal can be facilitated using water, mineral oil, or petrolatum.

[HCHenry]

TYSM

[mcabuhat]

Excellent