Chapter 12 Care of the Extremely Low Birth Weight Infant

Questions 1 and 2 refer to the following scenario: The nurse is expecting the delivery of a female infant at 24 weeks’ postconceptional age, with an estimated fetal weight of 800 g.

1. Which of the following elements of the delivery room setup is most specifically geared toward the extremely low birth weight infant?

A. Nasal continuous positive airway pressure device

B. Polyethylene wrap

C. Meconium aspirator

D. 3.5-mm endotracheal tube

2. At delivery, the infant is noted to be apneic. The attending physician intubates and orders the nurse to deliver positive pressure ventilation with an inspired oxygen fraction (Fio₂) of 0.40 while the respiratory therapist applies the oxygen saturation monitor. Based on the patient-specific data, which of the following is the most accurate interpretation of this order?

A. This is an inappropriate order, because blended oxygen is not available in the delivery room.

B. This is an appropriate order, because even brief hyperoxia can result in negative sequelae in the extremely low birth weight infant.

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