Question 1

What type of intervention advises mothers and fathers to place their low-birth-weight neonates on their chests for 2-3 hours a day?

Accepted Answer

Kangaroo care involves placing a low-birth-weight neonate on the parent's chest for 2-3 hours a day. This skin-to-skin contact has been shown to have numerous benefits, including improved weight gain, better temperature regulation, reduced stress, and increased breastfeeding success. Papoose care is a controversial practice that involves swaddling infants tightly, and Marsupial care and Frequent contact care are not commonly used terms in neonatal care.

Question 2

Your roommate's brother and sister-in-law just had a baby girl. Their daughter was born with very low birth weight. What advice can you give them in terms of providing additional care for her?

Accepted Answer

Infant massage has been shown to have a positive impact on the growth and development of premature infants. It can help with weight gain, improved motor development, and overall health. It can also provide a bonding experience between the parents and their baby. However, it's important to consult with the baby's healthcare provider first to ensure it's safe to do so. The other options listed are not recommended as leaving an infant with a bottle can lead to choking, just being calm does not provide any additional care or support, and an infant monitor may not be necessary unless recommended by a healthcare provider.

Question 3

Which of the following is a substance that lubricates the lungs and helps the neonates breathe independently?

Accepted Answer

Surfactant is a substance that is produced by the cells lining the alveoli in the lungs. It helps to reduce the surface tension in the lungs, which makes it easier for the neonate to take their first breath and helps to prevent the collapse of the alveoli. This substance is particularly important for premature infants whose lungs may not yet have produced enough surfactant, putting them at risk for respiratory distress syndrome.

Question 4

What type of intervention for low-birth-weight neonates is so successful that it is used in over 75% of neonatal intensive care units in the United States?

Accepted Answer

Kangaroo care, also known as skin-to-skin care, involves placing a preterm or low-birth-weight neonate on the bare chest of a parent, preferably the mother, for several hours a day. Kangaroo care has been shown to have numerous benefits for neonates, including reducing mortality rates, decreasing the risk of infection, stabilizing body temperature, improving breastfeeding rates, and promoting bonding between parent and child. It is so successful that it is used in over 75% of neonatal intensive care units in the United States.

Question 5

Low birth weight usually occurs because ____.

Accepted Answer

Low birth weight can occur due to a disruption during prenatal development, such as poor nutrition, exposure to harmful substances, and infections during pregnancy. This can result in the baby not growing properly and being born with a low birth weight. While there may be some factors that are not yet fully understood by researchers, it is not primarily due to trauma to the placenta or irresponsible parents.

Question 6

Born at 32 weeks after conception, Sasha weighs 900 grams. Given this information, Sasha is best defined as:

Accepted Answer

Sasha is born at 32 weeks, which is preterm (before 37 weeks), and weighs 900 grams, which is considered extremely low birth weight (less than 1000 grams).

Question 7

Tatem is a low-birth-weight neonate who now has longer periods of sleep, cries less and has gained weight much faster than other preterm babies. Which of the following treatments would you suspect that Tatem's parents are using?

Accepted Answer

Kangaroo care involves skin-to-skin contact between a parent and their preterm baby, which has been shown to lead to improved weight gain, reduced crying, and longer periods of sleep in preterm infants. Calcium supplements and Montessori care are not relevant to the situation, and Harlow treatments typically involve monkey studies and are not applicable to human infants.

Question 8

____ neonates have a four times higher death rate than ____ infants.

Accepted Answer

Small-for-date neonates have a four times higher death rate than preterm infants.

Question 9

Your roommate is a smoker. You and he are having an argument because he not only thinks that smoking is OK but also thinks it is fine when a pregnant woman smokes - his mother did. You argue that, among other things, women who smoke when pregnant have newborns who are ____.

Accepted Answer

Women who smoke when pregnant have a higher risk of delivering babies who are low in birth weight. This is not a good start for the baby and can have developmental effects. Smoking during pregnancy can also lead to various other complications such as premature birth, stillbirth, and sudden infant death syndrome (SIDS). Therefore, it is not fine when a pregnant woman smokes.

Question 10

Based on research, what type of treatment intervention for low-birth-weight neonates helps them to survive their first year?

Accepted Answer

Kangaroo care, also known as skin-to-skin care, involves placing the newborn on the mother or father's bare chest, providing warmth and regulating the infant's breathing and heart rate. This method has been shown to improve survival rates in low-birth-weight neonates.

Question 11

Which continents have the highest rates of low-birth-weight neonates?

Accepted Answer

According to global data, Asia and Africa have the highest rates of low-birth-weight neonates.

Question 12

What is the current percentage of low-birth-weight neonates in Australia?

Accepted Answer

According to the Australian Institute of Health and Welfare, the current percentage of low-birth-weight neonates in Australia is 7%. Therefore, choice A is the correct answer.

Question 13

An adult who was low birth weight is more likely to ____.

Accepted Answer

Low birth weight is associated with an increased risk of brain abnormalities, including cerebral palsy and developmental delay. Being an adult with low birth weight does not necessarily increase the risk of obesity, short stature, or severe psychological problems.

Question 14

What is another very useful technique for assisting low-birth-weight babies?

Accepted Answer

Infant massage has been found to improve weight gain and development in low-birth-weight babies by increasing their alertness, decreasing stress hormones, and promoting better sleep patterns. Educating their mothers and implementing smoking cessation programs for parents are also important interventions, but they may not directly improve the health of the baby in the same way that infant massage does. Infant isolation is not a recommended intervention, as it can have negative effects on the baby's development and mental health.

Question 15

What is the main cause of infants with low birth weight in developed countries?

Accepted Answer

Maternal cigarette smoking is a known risk factor for low birth weight infants in developed countries. It can cause fetal growth restriction and impair placental function, leading to decreased nutrient and oxygen supply to the fetus. Other factors such as maternal malnourishment, drug abuse, and anemia can also contribute to low birth weight, but cigarette smoking is the main cause in developed countries.

Question 16

Adolescents who were born with low birth weight were more likely to ____.

Accepted Answer

The answer of Adolescents who were born with low birth...

Question 17

For developing countries, the main cause for low-birth-weight neonates is ____, whereas in developed countries it is ____.

Accepted Answer

In developing countries, malnourishment is the main cause for low-birth-weight neonates due to inadequate maternal nutrition and lack of access to adequate healthcare. However, in developed countries, cigarette smoking is the main cause as it increases the risk for preterm birth and restricts the baby's growth in the womb.

Question 18

Low birth weight is the ____ in developed countries.

Accepted Answer

The answer of Low birth weight is the ____ in...

Question 19

What is that substance that coats the lungs and keeps the air sacs in the lungs from collapsing called?

Accepted Answer

The substance that coats the lungs and keeps the air sacs from collapsing is called surfactant. A) Pulmonary oil is not a term used in the medical field. B) Mucus is not responsible for keeping the air sacs in the lungs from collapsing. D) Liquivent is not a term used in the medical field.

Question 20

Your roommate's brother and sister-in-law just had a baby girl. Their daughter was born with very low birth weight. They did not get much help in terms of advice and are now leaving the hospital after only being there 7 days. What type of close-contact intervention would you advise for them?

Accepted Answer

Kangaroo care involves skin-to-skin contact between baby and parent, which has been shown to improve weight gain and decrease the risk of infections and other complications in premature or low birth weight babies. It is a safe and effective way for parents to provide close-contact intervention for their newborn. Papoose and marsupial care are not recognized interventions in neonatal care, and frequent contact care may not provide the same level of benefits as kangaroo care.

Quiz 3: Birth and the Newborn Child