A 23-week gestation neonate weighing 1100 grams in the NICU is having respiratory difficulties. Due to his size, which interventions are appropriate? (Select all that apply)
Provide support and teaching to family members.
Maintain handwashing and sterile technique.
Keep the neonate in as close to a womb-like state as possible.
Monitor vital signs and change diapers every hour.
Correct Answer : A,B,C
Choice A rationale
Providing family support is crucial as preterm birth can cause significant emotional distress. Education and involvement aid understanding of interventions and foster a supportive environment for both the neonate and family.
Choice B rationale
Strict handwashing and sterile technique prevent infection in preterm neonates, whose immature immune systems make them highly susceptible to sepsis, a leading cause of morbidity in NICUs.
Choice C rationale
Creating a womb-like state through dim lighting, limited noise, and careful positioning supports neurodevelopment and mimics the intrauterine environment, promoting growth and stability.
Choice D rationale
Frequent diaper changes may disturb thermoregulation and disrupt the neonate's limited energy reserves, as preterm infants require an environment that minimizes stress and conserves energy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
Choice A rationale
Bottle feeding does not impact recovery from postpartum hemorrhage. Breastfeeding promotes oxytocin release, aiding uterine contractions to minimize bleeding risk, unlike bottle feeding, which has no therapeutic impact.
Choice B rationale
Aspirin is contraindicated postpartum as it increases bleeding risk due to its antiplatelet effects. Analgesic alternatives like acetaminophen are preferred for pain relief in hemorrhage recovery settings.
Choice C rationale
Frequent fundal assessments monitor for uterine atony, a leading hemorrhage cause. Ensuring the uterus remains firm and contracted is critical in preventing recurrent excessive blood loss postpartum.
Choice D rationale
A CBC after six hours checks hemoglobin, hematocrit, and platelet levels, identifying ongoing bleeding or anemia. Timely lab evaluation ensures appropriate interventions like transfusions or iron supplementation.
Correct Answer is D
Explanation
Choice A rationale
Postpartum depression does not resolve without intervention. It requires medical or psychological treatment to address underlying hormonal, emotional, and environmental factors contributing to the condition.
Choice B rationale
Postpartum depression is distinct from baby blues, which are transient and resolve without treatment. PPD involves more severe symptoms requiring medical or psychological intervention for effective management.
Choice C rationale
Postpartum depression is not limited to older Caucasian women. It affects women of all ages, ethnicities, and socioeconomic backgrounds, influenced by hormonal, genetic, and environmental factors.
Choice D rationale
Postpartum depression is characterized by severe anxiety, irritability, and panic attacks, distinguishing it from baby blues. These symptoms interfere with daily functioning and require medical or psychological treatment.
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