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1. A nurse is caring for a preterm infant who was born at 28
weeks gestation and weighs 1200 grams. The nurse
observes that the infant has episodes of apnea, bradycardia,
and cyanosis. What is the most appropriate nursing
intervention for this infant?
a) Stimulate the infant by rubbing the back or feet.
b) Administer oxygen via nasal cannula or mask.
c) Suction the infant's mouth and nose with a bulb syringe.
d) Place the infant in a prone position with the head
elevated.
*Answer: A. Stimulating the infant by rubbing the back or
feet is a simple and effective way to interrupt apnea and
bradycardia episodes in preterm infants. Oxygen
administration may be indicated if the infant does not
respond to stimulation, but it should be used with caution
as it can cause oxygen toxicity and retinopathy of
prematurity. Suctioning may be necessary if there is
excessive secretions, but it can also trigger apnea and
bradycardia by stimulating the vagus nerve. Prone
positioning may improve oxygenation and ventilation, but
it increases the risk of sudden infant death syndrome
(SIDS) and should only be used when the infant is closely
monitored.*
2. A nurse is teaching a mother how to provide kangaroo
care to her preterm infant who is stable but still requires
supplemental oxygen and intravenous fluids. Which of the
following statements by the mother indicates a need for
further teaching?
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