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While there are many possible complications due to premature birth, the most critical organ system is the lungs, because poor gas exchange at the cellular level has cascading consequences for all major organ systems.

A) True
B) False

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Preterm birth is responsible for almost two-thirds of infant mortality.

A) True
B) False

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Very low birth weight (VLBW) infants are unlikely to be born at term.

A) True
B) False

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Which of the following is NOT a true statement regarding premature infants?


A) Parenting a premature infant is difficult.
B) Some parents may avoid becoming emotionally engaged with their infant in the neonatal intensive care unit.
C) Unfortunately, many of the risk factors that may contribute to premature birth are preventable.
D) Premature infants are at greater risk for neglect and abuse from parents when they finally go home.

E) A) and B)
F) All of the above

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The most common cause of brain damage in premature infants is __________.


A) bronchopulmonary dysplasia (BPD)
B) low birth weight (LBW)
C) respiratory distress syndrome (RDS)
D) periventricular-intraventricular hemorrhage (P/IVH)

E) B) and C)
F) None of the above

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Which of the following is NOT a characteristic of premature infants?


A) The skin is typically thin and almost translucent; it is possible to see veins under the skin.
B) Some features may appear wrinkled owing to the lack of fat deposits beneath the skin.
C) There will be a complete lack of the body hair that is typical for most infants.
D) The infant's cry is weak, and he or she may have difficulty feeding because of a poor sucking reflex.

E) B) and D)
F) A) and D)

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C

The critical postnatal period for catch-up growth for premature infants is during which time frame?


A) 6 weeks to 6 months
B) 4 weeks to 8 months
C) 2 weeks to 10 months
D) 3 weeks to 9 months

E) A) and B)
F) A) and C)

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A

Bronchopulmonary dysplasia (BPD) is a chronic lung condition that affects infants who require mechanical ventilation for respiratory distress syndrome (RDS) and who are born prior to __________.


A) 24 weeks' gestation
B) 26 weeks' gestation
C) 28 weeks' gestation
D) 30 weeks' gestation

E) A) and B)
F) A) and C)

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The growth pattern of premature infants is adjusted for corrected age (gestational age plus postnatal age) for one to two years after birth.

A) True
B) False

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Gestational age is determined through neurological and physical assessment between __________.


A) 1 and 3 hours after birth
B) 2 and 8 hours after birth
C) 10 and 15 hours after birth
D) 24 and 48 hours after birth

E) None of the above
F) All of the above

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B

According to the World Health Organization, infants are premature (or preterm) if they ____________________.


A) are considered small for gestational age (SGA)
B) have a low birth weight (LBW)
C) have a very low birth weight (VLBW)
D) are born before 37 weeks, regardless of their weight

E) B) and D)
F) A) and C)

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