NCLEX_CRUSADE_ACADEMY TEST- 14 PRETERM & POSTERM NEWBORN

1. A newborn delivered at 35 weeks gestation is classified as: Term. Postterm. Preterm. Late term.

2. A newborn born at 43 weeks is classified as: Preterm. Term. Late preterm. Postterm.

3. Apneic episodes in a preterm infant are generally considered: Always pathologic emergencies. Expected due to immature respiratory control. Indicators of sepsis only. Signs of hypoglycemia.

4. Preterm infants are at high risk for hypothermia primarily because of: Increased brown fat. No subcutaneous fat stores. Increased metabolic rate. Excess glycogen stores.

5. Diminished bowel sounds in a preterm infant are: A sign of NEC. Always abnormal. An expected immature finding. An indication for surgery.

6. Thin, transparent skin with visible veins suggests: Postterm newborn. Term newborn. Preterm newborn. Dehydrated infant.

7. Presence of lanugo on shoulders and back indicates: Postterm status. Preterm status. Meconium exposure. Infection.

8. Extended posture with lack of flexion is characteristic of: Postterm infant. Preterm infant. Hypoglycemia. Hyperbilirubinemia.

9. The most critical nursing priority for a preterm infant is: Bonding support. Thermoregulation. Early discharge planning. Bathing.

10. Humidified oxygen is used in preterm infants primarily to: Increase hydration. Protect delicate mucous membranes. Prevent jaundice. Improve feeding tolerance.

11. Strict handwashing in preterm care is emphasized due to: Increased metabolism. Poor immune maturity. GI reflux. Poor bonding.

12. The core problem in postterm newborns is: Organ immaturity. Placental insufficiency. Hyperinsulinemia. Infection.

13. Hypoglycemia in postterm infants occurs because: Excess glycogen. Glycogen stores are depleted. Immature pancreas. Excess insulin.

14. Meconium passage in utero is typically triggered by: Hyperglycemia. Hypoxia. Infection. Thermoregulation issues.

15. Dry, cracked, parchment-like skin suggests: Preterm infant. Postterm infant. Term infant. NEC.

16. Long fingernails extending past fingertips indicate: Prematurity. Postmaturity. Dehydration. Infection.

17. Yellow-green staining of skin and cord indicates: Jaundice. Meconium exposure. Infection. Hemolysis.

18. The highest risk population for Meconium Aspiration Syndrome is: Preterm infants. Term infants. Postterm infants. LBW infants only.

19. The sequence leading to MAS begins with: Hypoglycemia. Fetal stress and hypoxia. Infection. Bradycardia only.

20. Immediate respiratory findings suggesting MAS include all EXCEPT: Nasal flaring. Grunting. Retractions. Strong cry without distress.

21. Green-stained amniotic fluid requires immediate: Bathing newborn. Eye assessment. Fetal heart rate assessment. Feeding.

22. After detecting meconium-stained fluid, the nurse must first rule out: Hypoglycemia. Cord prolapse. Jaundice. Hypothermia.

23. According to Maslow's hierarchy, the highest priority need in a newborn with respiratory distress is: Bonding. Skin care. Airway and breathing. Feeding.

24. In a newborn with suspected MAS, the priority nursing problem is: Risk for altered bonding. Impaired gas exchange. Risk for infection. Impaired skin integrity.

25. Major risk for preterm infants is primarily: Meconium aspiration. Placental insufficiency. Immaturity and thermoregulation. Hyperglycemia.

26. Major risk for postterm infants is primarily: Apnea. Thermoregulation. Meconium aspiration and hypoglycemia. GI immaturity.