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?