The nurse is working with a family that just experienced the birth of their first child at 34 weeks. Which statements indicate that additional teaching is needed? Select all that apply
1. "Our baby will be in an isolette to keep him warm."
2. "Breathing might be harder for our baby because he is early."
3. "The growth of our baby will be faster than if he were term."
4. "Tube feedings will be required because his stomach is small."
5. "Because he came early, he will not produce urine for two days."
Correct
3, 4, 5
Rationale:
1. Preterm infants have little subcutaneous fat, and have difficulty maintaining their body temperature. An isolette or overhead warmer is used to keep the baby warm.
2. Surfactant production might not be complete at 34 weeks, which leads to respiratory distress syndrome. In addition, respiratory effort is increased when the ductus arteriosus remains patent, which is common in preterm infants.
3. Preterm infants grow more slowly than do term infants.
4. Although tube feedings might be required, it would be because preterm babies lack sufficient suck and swallow reflexes to prevent aspiration.
5. Although preterm babies have diminished kidney function due to incomplete development of the glomeruli, they will make urine.
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