A nurse is evaluating a preterm infant who has patent ductus arteriosus (PDA).

Which of the following findings should indicate to the nurse that the condition is improving?

Decreased heart rate

Increased blood pressure

Decreased respiratory rate

Increased oxygen saturation.

Answer and Explanation

The Correct Answer is D

Increased oxygen saturation. This indicates that the condition is improving because it means that the blood is getting more oxygen in the lungs and less blood is shunting from the aorta to the pulmonary artery through the patent ductus arteriosus (PDA).

Choice A is wrong because decreased heart rate can be a sign of hypoxia, acidosis, or heart failure, which are complications of PDA.

Choice B is wrong because increased blood pressure can be a sign of increased systemic vascular resistance, which can result from decreased tissue perfusion due to PDA.

Choice C is wrong because decreased respiratory rate can be a sign of respiratory depression, which can be caused by some medications used to treat PDA, such as indomethacin or ibuprofen.

Normal ranges for oxygen saturation in preterm infants are between 88% and 95%.

Normal ranges for heart rate in preterm infants are between 120 and 160 beats per minute.

Normal ranges for blood pressure in preterm infants depend on gestational age and weight.

Normal ranges for respiratory rate in preterm infants are between 40 and 60 breaths per minute.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Loose, peeling skin without lanugo or vernix is a symptom of post-term infants who have intrauterine growth restriction (IUGR).Post-term infants are born after 42 weeks of gestation and may have reduced placental function, resulting in less nutrition and oxygen for the fetus.This can cause them to have low birth weight, decreased subcutaneous fat and muscle mass, and dry skin.

Choice A is wrong because a large head in proportion to body size is not a sign of IUGR.It may indicate a congenital anomaly or a chromosomal disorder.

Choice C is wrong because increased subcutaneous fat and muscle mass are not signs of IUGR.They are signs of normal fetal growth and development.

Choice D is wrong because hypertonia and hyperreflexia are not signs of IUGR.They may indicate a neurological problem or a perinatal asphyxia (lack of oxygen during birth).

A. Conjunctivitis B. Bronze discoloration of the skin C. Sunken fontanelles D. Maculopapular skin rash.

Correct Answer is C

Explanation

This is a sign of dehydration, which can be caused by phototherapy.Phototherapy increases insensible water loss through the skin and can lead to fluid and electrolyte imbalance in the newborn.The nurse should monitor the newborn’s hydration status, weight, urine output, and serum electrolytes and provide adequate fluid intake.

Choice A is wrong because conjunctivitis is not a common complication of phototherapy.It can be prevented by using eye shields or patches to protect the newborn’s eyes from the light source.

Choice B is wrong because bronze skin discoloration is a rare complication of phototherapy that occurs when the bilirubin level is very high and the skin pigment changes.It is not a priority finding and usually resolves after phototherapy is discontinued.

Choice D is wrong because maculopapular skin rash is a benign side effect of phototherapy that does not require intervention.It usually disappears within a few days after phototherapy is stopped.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is evaluating a preterm infant who has patent ductus arteriosus (PDA). Which of the following findings should indicate to the nurse that the condition is improving?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a post-term infant who was born with intrauterine growth restriction (IUGR). Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for an infant who has a high Bilirubin level and is receiving phototherapy. Which of the following is the priority finding in the newborn?

Correct Answer is C

Explanation

A nurse is providing dietary teaching to a client who has celiac disease. Which of the following food choices by the client indicates an understanding of the teaching?

A nurse is evaluating the effectiveness of phototherapy for a post-term infant who has hyperbilirubinemia due to ABO incompatibility with the mother’s blood type O negative and infant’s blood type B positive. Which of the following findings indicates that phototherapy is effective?

A nurse is preparing to gavage feed a preterm infant who is receiving IV antibiotics. The infant expels a bloody stool. What nursing action should the nurse implement?

A nurse is educating a parent about how to care for a newborn who has hyperbilirubinemia at home. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is caring for a client who is receiving parenteral nutrition (PN) through a central venous catheter (CVC). The current PN bag is empty, and a new PN bag is not available at this time. Which of the following solutions should the nurse infuse until a new PN bag is available?

The nurse is educating a client about the signs and symptoms of hypoglycemia in a newborn. Which of the following should the nurse include?

A nurse is preparing to administer an exchange transfusion to a newborn who has severe hyperbilirubinemia due to Rh incompatibility. Which of the following actions should the nurse take first?

A nurse is educating the parents of a newborn who has hypoglycemia about how to feed their baby. The nurse should instruct the parents to do which of the following actions?

A nurse is evaluating a preterm infant who has patent ductus arteriosus (PDA).

Which of the following findings should indicate to the nurse that the condition is improving?