A preterm infant exhibits symptoms including grunting, nasal flaring, and tachypnea. The nurse anticipates the newborn will need which treatment(s)?
Oxygen administration and surfactant administration.
Chest tube insertion and drainage.
Frequent suctioning through an endotracheal tube.
Partial exchange blood transfusion.
The Correct Answer is A
A. The entry of air into the alveoli, replacing expelled amniotic fluid, is a critical mechanical stimulus that initiates the transition to neonatal breathing.
B. Decreased oxygen levels trigger chemical, not mechanical, stimuli.
C. The diaphragm moves downward during inspiration, not upward.
D. Drying and stimulation help initiate breathing through sensory stimulation, not mechanical.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Using a whole hand for gentle containment is more appropriate for calming preterm infants.
B. Promoting flexion, not extension, helps mimic the fetal position and provides comfort.
C. A dimly lit environment is preferred for preterm infants to reduce sensory overload.
D. Clustering care reduces stimulation and promotes rest, which is essential for preterm infant development and reducing stress.
Correct Answer is D
Explanation
A. Intraventricular hemorrhage presents with neurological signs like apnea or seizures, not primarily gastrointestinal symptoms.
B. Increased gastric residuals alone may indicate a need for tube placement, but the full symptom set suggests NEC.
C. Overstimulation may cause irritability but does not typically result in bloody stools or abdominal distension.
D. NEC is a life-threatening gastrointestinal disorder in preterm infants characterized by intestinal inflammation, abdominal distension, lethargy, bloody stools, and increased gastric residuals. Immediate intervention is necessary.
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