Author Question: A nurse assesses that a 3-day-old neonate who was born at 34 weeks' gestation has abdominal ... (Read 77 times)

tth · **on:** Jun 28, 2018

A nurse assesses that a 3-day-old neonate who was born at 34 weeks' gestation has abdominal distention and vomiting. These assessment findings are most likely related to:

a. Respiratory Distress Syndrome (RDS)b. Bronchopulmonary Dysplasia (BPD)c. Periventricular Hemorrhage (PVH)d. Necrotizing Enterocolitis (NEC)

Question 2

A neonate is born at 33 weeks' gestation with a birth weight of 2400 grams. This neonate would be classified as:

a. Low birth weightb. Very low birth weightc. Extremely low birth weightd. Very premature

CharlieArnold · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: d
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a. Assessment findings for RDS include tachypnea, intercostal retractions, respiratory grunting, and nasal flaring.
b. Assessment findings for BPD include chest retractions; audible wheezing, rales, and rhonchi; hypoxia; and bronchospasm.
c. Assessment findings for PVH include bradycardia, hypotonia, full and/or tense anterior fontanel, and hyperglycemia.
d. Assessment findings related to NEC include abdominal distention, bloody stools, abdominal distention, vomiting, and increased gastric residual. These signs and symptoms are related to the premature neonate's inability to fully digest stomach contents and limitation in absorptive function.

Answer to Question 2

ANS: a
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a. Neonates with a birth weight of less than 2500 grams but greater than 1500 grams are classified as low birth weight.
b. Neonates with birth weight less than 1500 grams but greater than 1000 grams are classified as very low birth weight.
c. Neonates with birth weight less than 1000 grams are classified as extremely low birth weight.
d. Neonates born less than 32 weeks' gestation are classified as very premature.