A nurse is assessing a preterm newborn and notes the presence of retinopathy of prematurity (ROP).
Which intervention should the nurse anticipate in the plan of care?
Administering antibiotics to treat infection
Providing phototherapy to treat jaundice
Administering surfactant to improve lung function
Scheduling regular eye examinations
The Correct Answer is D
Scheduling regular eye examinations.
Retinopathy of prematurity (ROP) is an eye disease that can happen in babies who are premature or who weigh less than 3 pounds at birth. ROP happens when abnormal blood vessels grow in the retina, which can cause vision loss or blindness.
The best way to prevent and treat ROP is to monitor the retinal development and detect any signs of abnormal blood vessel growth early. This can be done by regular eye examinations by an ophthalmologist. Some babies with mild ROP may get better without treatment, but some may need laser treatment, eye injections, or surgery to stop the abnormal blood vessels and prevent retinal detachment.
Choice A is wrong because antibiotics are not used to treat ROP.
Antibiotics are used to treat infections, which are not the cause of ROP.
Choice B is wrong because phototherapy is not used to treat ROP.
Phototherapy is used to treat jaundice, which is a condition where the skin and eyes turn yellow due to high levels of bilirubin in the blood.
Jaundice is not related to ROP.
Choice C is wrong because surfactant is not used to treat ROP.
Surfactant is a substance that helps the lungs function properly by reducing the surface tension of the air sacs.
Surfactant may be given to premature babies who have respiratory distress syndrome, which is a lung problem that can affect their oxygen levels. However, surfactant does not directly affect the retina or the blood vessels in the eye.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Monitoring cervical changes.
This is because cervical changes indicate the progress of labor and the risk of preterm delivery.
Preterm labor is defined as regular uterine contractions with cervical dilation and effacement before 37 weeks of gestation.
The nurse should assess the cervical length, dilation, effacement, and position frequently to determine the need for interventions to stop or delay labor.
Choice A is wrong because monitoring vital signs is not specific to fetal well-being.
Vital signs can reflect maternal health, infection, or complications, but they do not directly measure fetal status.
Choice C is wrong because monitoring fluid intake and output is not specific to fetal well-being.
Fluid balance can affect maternal hydration, electrolytes, and blood pressure, but it does not directly measure fetal status.
Choice D is wrong because monitoring maternal preference is not specific to fetal well-being.
Maternal preference can affect the comfort, satisfaction, and coping of the mother, but it does not directly measure fetal status.
Correct Answer is B
Explanation
The correct answer is choice B. Administering tocolytics.Tocolytics are drugs that inhibit uterine contractions and can delay preterm labor for a short time.This can allow time for the administration of antenatal corticosteroids and transfer to a tertiary care facility if necessary.
Choice A is wrong because administering intravenous fluids does not improve blood flow to the placenta and fetus.It may also increase the risk of pulmonary edema in women with preterm labor.
Choice C is wrong because administering corticosteroids does not improve blood flow to the placenta and fetus.Corticosteroids are given to enhance fetal lung maturity and reduce the risk of neonatal complications such as respiratory distress syndrome, intracranial hemorrhage, and necrotizing enterocolitis.
However, they do not stop preterm labor.
Choice D is wrong because providing emotional support does not improve blood flow to the placenta and fetus.Emotional support is important for women with preterm labor, but it is not a priority intervention to prevent fetal hypoxia or acidosis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.