Late preterm infants (gestational age between 34 and 36 weeks)
short stature.
meconium aspiration.
respiratory complications.
prematurity-related complications.
The Correct Answer is C
Rationale:
A. Short stature is not a defining complication of late preterm infants; it relates more to long-term growth patterns.
B. Meconium aspiration can occur in term or post-term infants but is not specifically more common in late preterm infants.
C. Respiratory complications are a primary concern for late preterm infants due to incomplete lung maturation. They are at higher risk for respiratory distress syndrome, transient tachypnea of the newborn, and other pulmonary issues compared with full-term infants.
D. While late preterm infants are considered “near term,” they are generally at lower risk for the full spectrum of prematurity-related complications seen in infants <34 weeks, although some minor complications can occur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. The most common form of congenital adrenal hyperplasia (CAH) is 21-hydroxylase deficiency. In female infants, this often results in genital ambiguity due to excess androgen production in utero, leading to virilization.
B. Hyperglycemia is not typical in CAH; infants may instead present with hypoglycemia due to salt-wasting crises in severe forms.
C. Hypokalemia is uncommon; CAH typically presents with hyperkalemia in salt-wasting forms due to aldosterone deficiency.
D. Hyponatremia can occur in salt-wasting CAH, but the most immediately observable sign in a newborn is genital ambiguity in affected females.
Correct Answer is D
Explanation
Rationale:
A. Referral to a specialist is not immediately necessary when physical development is normal and there are no other concerning findings.
B. Measuring FSH and LH is indicated if there are signs of delayed puberty or abnormal secondary sexual characteristics, which are absent in this case.
C. hCG testing is used to assess for pregnancy, which is not relevant in a 14-year-old with normal pubertal development and no history suggesting pregnancy.
D. Reassurance and education are appropriate, as menarche typically occurs around Tanner stage 3–4, and variation in timing is normal. Most healthy adolescents who have normal physical development and no other symptoms will begin menstruating by age 15.
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