A premature newborn has a pulse pressure of 33 mm Hg. What action ...

[PhilipSeeMore]

A premature newborn has a pulse pressure of 33 mm Hg. What action by the nurse takes priority?
 
  A.
  Assess the infant for patent ductus arteriosus.
  B.
  Ensure the blood pressure cuff is the right size.
  C.
  Increase fluids to 1.5 times the maintenance rate.
  D.
  Sedate the baby to prevent fighting the ventilator.

Question 2

A nurse is documenting the types of high-risk newborns on the unit. Which infants would be classified as preterm? (Select all that apply).
 
  A.
   weeks
  B.
   weeks
  C.
   weeks
  D.
   weeks
  E.
   weeks

[Dunkey]

Answer to Question 1

ANS: B
A normal pulse pressure in a premature infant is 15-25 mm Hg. This widened pulse pressure could be indicative of a patent ductus, so the nurse should assess for this condition. However, the first action would be to ensure that the blood pressure cuff is the appropriate size and is calibrated correctly. Increasing IV fluids and sedating the baby are not indicated.

Answer to Question 2

ANS: A, B
Infants born between 38 and 41 weeks' gestation are considered term infants. Infants born before the completion of the 37th week are considered premature. Infants born on or after 42 weeks are considered postterm.