Lesson 10: Self-Test - Obstetric and Newborn Care II

INSTRUCTIONS: Answer the following exercises by marking the lettered response that best answers the exercise, by completing the incomplete statement, or by writing the answer in the space(s) provided.

After you have completed all of these exercises, scroll to the bottom of this page and check your answers. For each exercise answered incorrectly, reread the material referenced with the solution.

1. An infant is considered premature if he is born before the_______________ week of gestation.

2. To allow for easy drainage of mucus from a premature infant, very small infants are placed on their ________________ and large infants are placed on their ____________________.

3. No weight gained or a loss of weight for a premature infant may indicate:

________________, _________________, and ______________________

4. What conditions are considered causes of prematurity?

____________________________________________________________

5. What is the best way to evaluate an infant’s oxygen status?

____________________________________________________________

6. What protective methods are provided for the prevention of infection in the premature infant.

____________________________________________________________

7. What major illness is susceptible to the premature infant?

____________________________________________________________

8. List seven of the thirteen factors that require continuous monitoring/assessment for the premature infant.

____________________________________________________________

9. The premature infant regurgitates feeding easily because of the infant’s:

a. Small mouth.

b. Thick tongue.

c. Small gastric capacity.

d. Poor muscle tone at the cardiac sphincter.

10. Failure of the premature infant to thrive as he grows older can be related to early:

a. Infections.

b. Feedings.

c. Surgery.

d. Method of birth.

Lesson 10: Self-Test Answers

1. 37th week. (para 10-2)

2. Side.

Abdomen. (para 10-4b)

3. Acidosis.

Sepsis.

Malabsorption. (para 10-6g)

4. Poor diet.

Poor health.

Cervical incompetence.

Multiple pregnancies/births.

Advanced age of parents.

Trauma.

Toxemia.

Congenital malformations of the fetus.

Chronic infection or disease of the mother.

Acute infection of the mother. (para 10-3)

5. Through arterial blood gases. (para 10-4c)

6. Restriction on all staff who have an infection.

Meticulous handwashing.

Gowning regulations.

Separate premature nursery.

Contact with only essential authorized personnel.

Cleanliness of immediate environment. (para 10-7a-f)

7. Respiratory distress syndrome.

Bronchopulmonary dysplasia.

Pulmonary dysmaturity.

Retrolental fibroplasia.

Hypoglycemia.

Sepsis.

Anemia. (para 10-8a)

8. Any seven of the thirteen.

Respiratory rate, depth, and regularity.

Periods of apnea greater than 20 seconds.

Respiratory rate after apneic episode.

See-saw respirations.

Expiratory grunting.

Chin tug.

Retractions.

Nasal flaring.

Cry.

Heart rate.

Cyanosis. (para 10-4d)

9. d (para 10-6d)

10. a (para-8b(2))

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