A nurse is planning care for a pre-term newborn who has a diagnosis of intraventricular hemorrhage (IVH).
Which of the following interventions should the nurse include in the plan?
Monitor vital signs and neurological status frequently
Administer antibiotics as prescribed
Elevate the head of the bed to 30 degrees
Provide supplemental oxygen as needed
The Correct Answer is A
Monitor vital signs and neurological status frequently.
This is because intraventricular hemorrhage (IVH) is a common and serious complication of prematurity that can lead to hydrocephalus, cerebral palsy, and developmental delays. Monitoring vital signs and neurological status can help detect changes in intracranial pressure, bleeding, and infection.
Choice B is wrong because antibiotics are not indicated for IVH unless there is evidence of infection.
Choice C is wrong because elevating the head of the bed to 30 degrees can increase the risk of IVH by reducing cerebral perfusion pressure and causing venous congestion.
Choice D is wrong because supplemental oxygen is not recommended for IVH unless there is hypoxia or respiratory distress. Excessive oxygen can cause oxidative stress and vasoconstriction, which can worsen IVH.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A white blood cell count of 12,000/mm3 indicates an infection that can trigger pre-term labor.The normal range for white blood cell count in pregnancy is 5.7-15.0×10 9 /L, which is equivalent to 5,700-15,000/mm3.
A count above this range suggests an inflammatory response to an infection.
Choice B is wrong because a hemoglobin level of 11 g/dL is within the normal range for pregnancy, which is 10-14 g/dL.
Choice C is wrong because a platelet count of 250,000/mm3 is within the normal range for pregnancy, which is 150,000-400,000/mm3.
Choice D is wrong because a blood glucose level of 90 mg/dL is within the normal range for pregnancy, which is 70-110 mg/dL.
Correct Answer is B
Explanation
Betamethasone is a corticosteroid that is given to pregnant women who are at risk of preterm delivery to enhance fetal lung maturity.Betamethasone stimulates the production of surfactant, a substance that lubricates the lungs and prevents them from collapsing when the baby breathes.This reduces the risk of respiratory distress syndrome and other complications in preterm infants.
Choice A is wrong because betamethasone does not reduce inflammation in the uterus.
Choice C is wrong because betamethasone does not prevent infection in the amniotic fluid.
Choice D is wrong because betamethasone does not increase blood flow to the placenta.
Normal ranges for gestational age are 37 to 42 weeks.
Preterm birth is defined as delivery before 37 weeks of gestation.Antenatal corticosteroids are recommended for women between 24 and 34 weeks of gestation who are at risk of preterm delivery within 7 days, and may be considered for women at 23 weeks of gestation or between 34 and 37 weeks of gestation depending on the clinical scenario.
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