What are possible complications of prematurity in babies? Select all that apply. (Select All that Apply.).

Cerebral palsy

Color blindness

Learning disabilities

Retinopathy

Apnea

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason:

Cerebral palsy is a disorder that affects movement, posture, and muscle tone. It can be caused by brain damage that occurs before, during, or after birth. Premature babies are at a higher risk of developing cerebral palsy because they are more likely to have bleeding in the brain, lack of oxygen to the brain, infections or other complications that can damage the brain.

Choice B reason:

Color blindness is a condition that affects the ability to see colors or differences in colors. It is usually inherited and not related to prematurity. However, some premature babies may develop retinopathy of prematurity, which can affect their vision in other ways.

Choice C reason:

Learning disabilities are problems that affect the ability to learn, read, write, speak or do math. They can be caused by genetic factors, environmental factors or brain injuries.

Premature babies are more likely to have learning disabilities because they are more likely to have brain damage, low birth weight, infections or other complications that can affect their brain development.

Choice D reason:

Retinopathy is a disease that affects the blood vessels in the retina, the light-sensitive layer of tissue at the back of the eye. Retinopathy of prematurity is a condition that occurs when the blood vessels in the retina grow abnormally in premature babies. This can cause bleeding, scarring or detachment of the retina, which can lead to vision loss or blindness.

Choice E reason:

Apnea is a condition that causes pauses in breathing during sleep. Apnea of prematurity is a condition that affects premature babies who have not fully developed their nervous system and respiratory system. This can cause them to stop breathing for more than 20 seconds at a time, which can lower their oxygen levels and heart rate.

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Correct Answer is ["B","F","G"]

Explanation

Choice A:

Temperature. The newborn's temperature is within the normal range of 36.5°C to 37.5°C (97.7°F to 99.5°F) for axillary measurement. Therefore, this finding does not need to be reported to the provider.

Choice B:

Respiratory findings. The newborn's respiratory rate is above the normal range of 30 to 60 breaths per minute. The newborn also has a low oxygen saturation of 96%, which indicates possible respiratory distress. Therefore, this finding should be reported to the provider.

Choice C:

Serum glucose. The question does not provide any information about the newborn's serum glucose level, so this choice is irrelevant and does not need to be reported to the provider.

Choice D:

Hematocrit. The question does not provide any information about the newborn's hematocrit level, so this choice is irrelevant and does not need to be reported to the provider.

Choice E:

White blood cell count. The question does not provide any information about the newborn's white blood cell count, so this choice is irrelevant and does not need to be reported to the provider.

Choice F:

Hemoglobin. The question does not provide any information about the newborn's hemoglobin level, but it is known that newborns have higher hemoglobin levels than adults due to fetal hemoglobin. A high hemoglobin level can increase the risk of polycythemia, which can cause hyperviscosity, hypoxia, and hyperbilirubinemia. Therefore, this finding should be reported to the provider.

Choice G:

Heart rate. The newborn's heart rate is above the normal range of 110 to 160 beats per minute. A high heart rate can indicate tachycardia, which can be caused by various factors such as fever, dehydration, anemia, infection, or congenital heart defects. Therefore, this finding should be reported to the provider.

A. "My baby might be in the NICU for 2 weeks.". B. "This breathing problem might have happened because I had a cesarean birth.". C. "I cannot breastfeed my baby while he is breathing so fast.". D. "My baby will probably go home on oxygen therapy.".

Correct Answer is B

Explanation

Choice A reason:

This is incorrect because TTN usually resolves within 24 to 72 hours of birth and does not require a long stay in the NICU.

Choice B reason:

This is correct because TTN is more common in babies born by cesarean section without labor, as they do not have the hormonal changes that help clear the fetal lung fluid.

Choice C reason:

This is incorrect because breastfeeding is not contraindicated in babies with TTN, unless they have severe respiratory distress or need continuous positive airway pressure (CPAP) support.

Choice D reason:

This is incorrect because TTN does not cause chronic lung disease or require oxygen therapy at home. Most babies with TTN only need supplemental oxygen for a few days until their breathing improves.

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What are possible complications of prematurity in babies? Select all that apply. (Select All that Apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a newborn 1 hr after birth. Select the 5 findings that the nurse should report to the provider.

Correct Answer is ["B","F","G"]

Explanation

A nurse is explaining TTN to the newborn's mother. Which statement indicates that the mother understands the teaching?

Correct Answer is B

Explanation

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