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Practice Question

The nurse is caring for a preterm formula fed infant. What finding would be most important to report to the healthcare provider?

Answer Choices:

Correct Answer:

Abdominal distension.

Rationale:

🔴 Abdominal distension in a preterm formula-fed infant is a potential sign of necrotizing enterocolitis (NEC), a life-threatening condition.

🔴 NEC involves inflammation and bacterial invasion of the bowel wall, which can rapidly lead to perforation and sepsis.

🔴 Early signs include bloated abdomen, feeding intolerance, and gastric residuals, which require immediate medical attention.

🔴 Preterm infants have immature gut barriers and are especially at risk when fed formula due to lack of protective antibodies found in breastmilk.

🔴 Prompt reporting of abdominal distension ensures early diagnosis, cessation of feeds, and possible initiation of IV fluids and antibiotics.

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This question is from RN ATI maternal Newborn Care~Nur213 which contains 40 questions.

More Questions from This Exam
A 2-day old newborn is observed to be restless, irritable, sucking on its fist, and crying. What action should the nurse take first?

Answer Choices:

A. Feed the infant at least 1 ounce of formula.
B. Collect a sterile urine specimen to evaluate for drugs ot abuse.
C. Swaddle the infant with hands near its mouth.
D. Move the infant into a brightly lit area for further assessment.
A 1 -day old newborn was born to a mother who had positive vaginal cultures for Group Beta Strep. The mother was only in labor for 1 hour prior to birth. What findings would indicate possible neonatal sepsis?

Answer Choices:

A. Elevated hemoglobin and bilirubin.
B. Acrocyanosis and unstable thermoregulation.
C. Generalized mottling and uncoordinated suck.
D. Lethargy and pallor.
A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching?

Answer Choices:

A. "l will apply ice packs to my breasts after feeding."
B. "I should apply hot packs to my breasts during feeding."
C. "l should crush cabbage leaves and place them on my breasts."
D. "l will breastfeed every 2 hours."
The nurse completing a gestational exam using the Ballard assessment tool understands that this assesses which two maturity components?

Answer Choices:

A. Physical and Behavioral.
B. Behavioral and Reflexive.
C. Neuromuscular and Physical.
D. Reflexive and Neuromuscular.
From Exam
RN ATI maternal Newborn Care~Nur213

40 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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