A nurse is caring for a newborn who was born prematurely at 26 weeks. Which of the following interventions should the nurse take to decrease the newborn's risk of increased intracranial pressure?
Elevate the head of the bed 15° to 20°.
Stimulate the newborn every 2 hr.
Place the newborn in a radiant warmer.
Administer hypertonic solution.
The Correct Answer is A
Choice A rationale:
Elevating the head of the bed can help prevent intracranial pressure by promoting venous drainage from the head.
Choice B rationale:
Premature newborns need to rest and conserve energy, so excessive stimulation every 2 hours is not recommended.
Choice C rationale:
Placing the newborn in a radiant warmer helps maintain a stable body temperature, but it does not directly address intracranial pressure.
Choice D rationale:
Administering hypertonic solution is not a standard intervention for decreasing intracranial pressure in a premature newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"xRanges":[299.765625,329.765625],"yRanges":[366.609375,396.609375]}
Explanation
Choice A rationale: This is incorrect because at about one hour after child birth the fundus should be around the belly button (where it was at 20 weeks of gestation).
Choice B rationale: This is incorrect because at about one hour after child birth the fundus should be around the belly button (where it was at 20 weeks of gestation). It then decreases steadily at approximately 1 cm every 24 hours.
Choice C rationale: One-week post-partum, the fundal height should be about 7 cm below the umbilicus (belly button). This means that the uterus is still larger than normal, but it is contracting and healing. The fundal height may vary depending on factors such as the size and position of the baby, the amount of amniotic fluid, and the mother's body type.
Correct Answer is A
Explanation
Choice A rationale:
Magnesium sulfate is often used to suppress preterm labor by relaxing the uterine smooth muscle.
Choice B rationale:
Methylergonovine is used to prevent or control postpartum hemorrhage and is not typically used for preterm labor.
Choice C rationale:
Calcium gluconate is used to treat magnesium sulfate toxicity and is not typically used for preterm labor.
Choice D rationale:
Dinoprostone is used to ripen the cervix for labor induction, not to suppress preterm labor.
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