Which intervention should the nurse implement to maintain the skin integrity of the preterm newborn?

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Introduction to Maternity and Pediatric Nursing Test Bank Questions

Question 1 of 5

Which intervention should the nurse implement to maintain the skin integrity of the preterm newborn?

Correct Answer: B

Rationale: Preterm newborns have delicate skin that is more susceptible to damage and irritation. Using a neutral pH solution for cleansing helps to maintain the skin's natural acidity and prevent disruption of the skin barrier. It is important to avoid over-bathing or using harsh alkaline-based soaps that can strip the skin of its natural oils and cause dryness or irritation. Cleansing the skin only when necessary helps to protect the fragile skin of preterm newborns and reduce the risk of skin breakdown or injury.

Question 2 of 5

Which is characteristic of newborns whose mothers smoked during pregnancy?

Correct Answer: D

Rationale: Newborns whose mothers smoked during pregnancy often display growth retardation in weight, length, and head circumference. Maternal smoking is associated with intrauterine growth restriction, leading to reduced size parameters at birth. This can result in newborns being smaller in weight, length, and head circumference compared to newborns of mothers who did not smoke during pregnancy. Smoking during pregnancy can have negative effects on the developing fetus, contributing to various health risks and growth abnormalities in newborns.

Question 3 of 5

A nurse is preparing to assess a 3-year-old child. What communication technique should the nurse use for this child?

Correct Answer: A

Rationale: When assessing a young child, it is important for the nurse to focus communication on the child by using simple language, asking direct questions, and using play-based approaches to facilitate communication. By engaging the child directly and adapting communication techniques to their developmental level, the nurse can establish rapport, gain the child's trust, and obtain accurate information during the assessment process. This approach helps create a positive and supportive environment for the child, making them feel comfortable and understood.

Question 4 of 5

The nurse is using calipers to measure skinfold thickness over the triceps muscle in a school- age child. What is the purpose of doing this?

Correct Answer: A

Rationale: Skinfold thickness measurements using calipers are commonly used in assessing body composition, specifically to estimate body fat percentage. By measuring skinfold thickness over the triceps muscle in combination with measurements from other sites on the body, healthcare professionals can estimate the amount of subcutaneous fat present. This information is valuable in evaluating an individual's overall body composition and health status. The triceps skinfold measurement is a commonly included site in body fat calculations, especially in school-age children, where it can provide insights into growth and development.

Question 5 of 5

While caring for a critically ill child, the nurse observes that respirations are gradually increasing in rate and depth, with periods of apnea. What pattern of respiration will the nurse document?

Correct Answer: C

Rationale: Cheyne-Stokes respirations are characterized by alternating periods of deep, rapid breathing followed by periods of apnea. This cyclic pattern of respiration is often seen in critically ill patients and can be a sign of serious neurological or cardiac dysfunction. The nurse should document Cheyne-Stokes respirations when observing this specific breathing pattern in the child described in the scenario.

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