Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            ttitude: flexed, extended. 
  Reflexes. 
Skin assessment: 
 Any discoloration, reddened area, signs of irritation, 
abrasions. 
 Texture and turgor of skin; dry, smooth, presence of rash, 
skin lesion or birthmarks. 
Monitoring physiological data: 
Vital signs: 
 Temp: 36.5-37.3°C. 
 Pulse: 120-150 beat /min. 
 Respiration: 40-60 cycle/ Min. 
General Nursing Care Plan Management: 
Assessment: 
         The nurse must assess the high-risk newborn needs and 
problems to develop the nursing care plan. 
Nursing Diagnosis: 
 Ineffective breathing pattern related to pulmonary and 
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neuromuscular immaturity, decreased energy and fatigue. 
 Ineffective thermo-regulation related to immature temperature 
control and decreased subcutaneous body fat. 
 High risk for infection related to deficit immunologic 
defenses. 
 Altered nutrition: less than body requirement related to 
inability to ingest nutrients because of immaturity or illness. 
 High risk for fluid volume deficit or excess related to 
immature physiologic characteristics of Preterm infant. 
 High risk for impaired skin integrity related to immature skin 
structure. Immobility decreased nutrition state, invasive 
procedures. 
 Altered family process related to situational crisis, knowledge 
deficit, and interruption of parental attachment process.  
Planning: 
         Basic goals for care of all high-risk infants:  
 Exhibit adequate oxygenation. 
 Maintain stable body temperature. 
 Protect the infant from nosocomial infection. 
  Receive adequate hydration and nutrition. 
 Maintain skin integrity. 
 Experience no pain. 
 Receive appropriate development care. 
 Receive appropriate family support, and home care. 
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Implementation: 
Respiratory Support: 
Assess for deviations of respiratory function, observe for 
signs of distress, grunting, cyanosis, nasal flaring and apnea, 
many infants require supplemental oxygen and assisted 
ventilation. 
Nursing Intervention: 
 Position for optimum air exchange to improve oxygenation. 
 Suction to remove accumulated mucus from nasopharynx, 
trachea. 
 Carry out oxygen therapy regimen. 
 Monitor blood gases measurement. 
 Maintain neutral thermal environment. 
 Observe and assess infant’s response to ventilation and 
oxygenation therapy. 
Thermoregulation: 
Nursing Intervention: 
 Place infant in incubator, radiant warmer or warmly clothed 
in open crib. 
 Regulate servo controlled unit or air temperature control as 
needed. 
 Monitor for signs of hyperthermia- redness, flushing. 
 Check temperature of infant . 
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 Avoid heat loss such as e

            Quiz: