The nurse recognizes the primary reason that an infant delivered ...

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The nurse recognizes the primary reason that an infant delivered at 33 weeks' gestation is at high risk for respiratory distress is that:
 
  a. The rib cage is poorly developed.
  b. Surfactant is inadequate to maintain lung inflation.
  c. The central nervous system is not sensitive to low oxygen levels.
  d. Lack of motor activity predisposes the infant to the hazards of immobility.

Question 2

To detect intraventricular hemorrhage in the preterm infant, the nursing care plan should include:
 
  a. Monitoring respiratory rate and effort
  b. Observing for sunken fontanelles
  c. Observing for seizure activity
  d. Monitoring body temperature

[leahchrapun]

Answer to Question 1

ANS: B
Before the thirty-fifth week, the fetal lungs are not usually capable of producing enough surfactant to prevent alveolar collapse on expiration, resulting in reduced exchange of oxygen and carbon dioxide. This causes hypoxia, decreased pulmonary blood flow, and depletion of the newborn's energy.

Answer to Question 2

ANS: C
Signs of increasing intracranial pressure, which occurs with intracranial bleeding, include bulging fontanelles, seizure activity, and increasing blood pressure.

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Excellent

[bblaney]

TYSM