When assessing a preterm infant a nurse observes nasal flaring sternal retractions and expiratory grunting What do these findings indicate?

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Surgical Technology for the Surgical Technologist: A Positive Care Approach

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11.When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, andexpiratory grunting. What do these findings indicate?a.Respiratory distress syndromeb.Postmaturity syndromec.Apneic episoded.Cold stress 11. When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, andexpiratory grunting. What do these findings indicate?a.Respiratory distress syndromeb. Postmaturity syndromec. Apneic episoded. Cold stressANS: AInsufficient amounts of surfactant predispose the preterm infant to respiratory distress. The signsmanifested by the infant are indicative of respiratory distress.

  • School Kaplan University
  • Course Title NU 310
  • Type

    Test Prep

  • Pages 12
  • Ratings 94% (33) 31 out of 33 people found this document helpful

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11. When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, andexpiratory grunting. What do these findings indicate?a.Respiratory distress syndromeb. Postmaturity syndromec. Apneic episoded. Cold stressANS: AInsufficient amounts of surfactant predispose the preterm infant to respiratory distress. The signsmanifested by the infant are indicative of respiratory distress.

DIF: Cognitive Level: Analysis REF: Page 310-311OBJ: 4 TOP: Respiratory Distress SyndromeKEY: Nursing Process Step: Data CollectionMSC: NCLEX: Physiological Integrity: Physiological Adaptation12. What nursing action will the nurse implement for a preterm infant who is being gavage fedand has a bloody stool?

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DIF: Cognitive Level: Application REF: Page 317 OBJ: 4TOP: Necrotizing Enterocolitis KEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance: Growth and Development13. Parents of a preterm infant come to the NICU every day to see their infant, who is beinggavage fed. What will the nurse teaching about stimulating the infant tell the parents?

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When assessing a preterm infant a nurse observes nasal flaring sternal retractions and expiratory grunting What do these findings indicate?

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Surgical Technology for the Surgical Technologist: A Positive Care Approach

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DIF: Cognitive Level: Application REF: Page 317 OBJ: 8TOP: Family Reaction KEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance: Growth and Development14. The nurse caring for an infant born at 36 weeks of gestation assesses tremors and a weak cry.The nurse is aware that these symptoms indicate what?

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DIF: Cognitive Level: Analysis REF: Page 314 OBJ: 4TOP: Postterm Infant KEY: Nursing Process Step: Data CollectionMSC: NCLEX: Health Promotion and Maintenance: Growth and Development

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When assessing a preterm infant a nurse observes nasal flaring sternal retractions and expiratory grunting What do these findings indicate?

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Surgical Technology for the Surgical Technologist: A Positive Care Approach

Association of Surgical Technologists

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What are 4 common signs of respiratory distress in a newborn?

Babies who have RDS may show these signs:.
Fast breathing very soon after birth..
Grunting “ugh” sound with each breath..
Changes in color of lips, fingers and toes..
Widening (flaring) of the nostrils with each breath..
Chest retractions - skin over the breastbone and ribs pulls in during breathing..

What does respiratory distress look like in a preterm infant?

Flaring nostrils. Rapid breathing. Grunting sounds with breathing. Ribs and breastbone pulling in when the baby breathes (chest retractions)

What is indicated by the presence of retractions in the newborn?

Intercostal Retractions One of the most important physical findings to be able to recognize in a newborn is the presence of retractions. Sepsis, pulmonary pathology, cardiac disease, metabolic disorders, polycythemia, cold stress, and others can all cause retractions -- it is a sign of a newborn in distress.

Are Substernal retractions normal in newborns?

Sternal retraction is a common clinical sign of respiratory distress in premature infants. Frontal chest radiographs show increased, ill-defined central radiolucency over the lower chest which correlates well with a curvilinear indentation seen on lateral views.