The nurse is assessing newborn patients who are at risk for feeding difficulties. Which patient is at the highest risk?

An infant 6 hours old, 41 weeks and 5 days gestation.

An infant 18 hours old, 36 weeks and 6 days gestation.

An infant 34 hours old, 37 weeks and 3 days gestation.

An infant 27 hours old, 38 weeks and 0 days gestation.

Answer and Explanation

The Correct Answer is B

Choice A reason: A newborn at 41 weeks and 5 days gestation is past full term and, while being older in gestational age, does not typically present increased risk for feeding difficulties as compared to preterm infants. At 6 hours old, this infant would still be adapting, but no additional risk is posed by the gestational age.

Choice B reason: An infant born at 36 weeks and 6 days gestation is considered late preterm. Late preterm infants often have immature suck and swallow reflexes and may experience difficulties with feeding, coordinating breathing with feeding, and maintaining body temperature. These issues place them at a higher risk for feeding difficulties compared to full-term infants.

Choice C reason: A newborn at 37 weeks and 3 days gestation is considered early term and generally faces fewer risks compared to preterm infants. At 34 hours old, feeding patterns are still being established, but there are no significant additional risks related to their gestational age.

Choice D reason: An infant born at 38 weeks gestation is considered full term. At 27 hours old, the baby would still be in the early stages of adapting to feeding, but being full term generally implies a lower risk for feeding difficulties compared to preterm infants.

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Correct Answer is B

Explanation

Choice A reason: While it is true that children may become anxious when they have to be in a health care setting, this statement does not specifically address the unique situation of a child with atrial septal defect (ASD). The diagnosis of ASD can contribute to an increased risk of anxiety due to the underlying health condition and its implications, rather than just the health care setting alone.

Choice B reason: Children with atrial septal defect (ASD) are indeed at a greater risk for experiencing anxiety. The presence of a congenital heart condition can create significant stress and worry for the child and their family. The anxiety could stem from concerns about their health, potential treatments, and the impact of the condition on their daily life. Therefore, this response appropriately acknowledges the connection between the diagnosis of ASD and the increased anxiety levels observed in the child.

Choice C reason: Although children with atrial septal defect may experience anxiety, the statement that children with ASD have mood disorders is not necessarily accurate. Mood disorders and anxiety are distinct conditions, and while they can co-occur, it is not a given that a child with ASD will have mood disorders. Thus, this response is not entirely appropriate for addressing the caregivers' concern.

Choice D reason: Worrying can be considered normal for children in general; however, this response does not specifically address the context of the child's atrial septal defect (ASD) and its potential impact on their anxiety levels. This statement is too generalized and does not provide the caregivers with the necessary reassurance and information related to the diagnosis of ASD. Therefore, it is not the most appropriate response from the nurse.

A. Facilitate an early discharge. B. Discontinue oxycodone administration. C. Restrict visitor time. D. Provide breast pump.

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Facilitating an early discharge is not appropriate in this case. Patients with PPROM require careful monitoring and management to prevent infections and other complications.

Choice B reason: Discontinuing oxycodone administration may be necessary to prevent potential adverse effects on both the patient and the baby, especially considering the patient's recent delivery and current condition.

Choice C reason: Restricting visitor time can help reduce the risk of infection, especially for a patient with PPROM and a newborn who may have a compromised immune system.

Choice D reason: Providing a breast pump is important to help the mother establish and maintain lactation, especially if the baby is premature and may have difficulty breastfeeding directly.

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The nurse is assessing newborn patients who are at risk for feeding difficulties. Which patient is at the highest risk?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a 13-year-old diagnosed with atrial septal defect (ASD). Their caregivers report that the child seems more anxious and worried than usual. Considering the diagnosis of ASD, which of the following responses is appropriate for the nurse to make?

Correct Answer is B

Explanation

The nurse is caring for a G4P1, 31 weeks and 2 days gestation, 41-year-old patient, with premature prolonged rupture of membranes (PPROM) 7 hours after delivery. Which interventions will the nurse include in the plan of care? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

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