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Book 3 Unit 6
Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
In which of the following situations is a newborn most at risk for feeding intolerance?
A. When the baby's mother has ulcers
B. When there was excess amniotic fluid
C. When the baby's mother has hypoglycemia
D. When there was minimal amniotic fluid
Which of the following babies is most likely to develop feeding problems?
A. A 3-day-old, term baby who has not produced stool
B. A 3,200-g (7 lb 1 oz) baby
C. A baby with a myelomeningocele
D. A baby with an estimated gestational age of 43 weeks
How does formula for preterm newborns differ from that for term newborns?
A. Higher protein concentration
B. Higher caloric density
C. Higher concentrations of vitamins and minerals
D. All of the above
A 2-hour-old, term baby that is appropriate for gestational age has rapid, shallow res pirations at a rate of 80 breaths per minute. The baby is requiring only 30% oxygen. How would you provide fluids/nutrition for this baby?
A. Nipple feedings
B. Nasogastric or orogastric tube feedings
C. Peripheral intravenous fluids
D. Delay fluids/feedings until the baby is 24 hours old
A 2,000-g (4 lb 61h oz) baby who is small for gestational age will require more calories to grow than a 2,000-g baby who is appropriate for gestational age.
True
False
Most preterm newborns initially lose weight and then slowly regain weight to arrive at their birth weight by approximately 2 weeks of age.
True
False
Preterm newborns born prior to 34 weeks of gestation have higher protein, vitamin, and mineral needs and often require fortified human (breast) milk until they are ingesting more liberal volumes.
True
False
Which of the following babies require tube feedings instead of nipple feedings?
A. Babies born at 30 weeks' gestational age who are appropriate for gestational age with a strong suck reflex
B. Babies born at 36 weeks' gestational age who are small for gestational age with polycythemia
C. Babies born at 40 weeks' gestational age with hyperbilirubinemia who require phototherapy
D. Babies born at 43 weeks' gestational age who are small for gestational age with a strong suck reflex
Which of the following procedures should usually be performed before each tube feeding?
A. Aspirate the baby's stomach contents, record the amount, and discard the aspi rated fluid.
B. Check for a soft, nondistended abdomen
The placement of a feeding tube should be checked before every feeding.
True
False
Term babies with increased work of breathing and supplemental oxygen requirement may be fed orally.
True
False
A combination of nipple and tube feedings may be appropriate for some babies.
True
False
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