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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Bluish-white secretions.
This indicates a positive FFN test, which means that the fetal fibronectin protein has been released into the cervical secretions.Fetal fibronectin is a protein that helps keep the amniotic sac attached to the lining of the uterus.A positive FFN test means that there is a higher risk of preterm labor.
Choice A is wrong because yellow-green discharge could indicate an infection, not preterm labor.
Choice B is wrong because bloody show is a sign of cervical dilation, not preterm labor.
Choice C is wrong because sticky mucus plug is a normal part of pregnancy, not preterm labor.
A negative FFN test means that there is a less than 1% chance of preterm labor within the next 2 weeks.The FFN test is used to rule out preterm labor and avoid unnecessary treatments.It is approved for use in women with symptoms of preterm labor who are 24 to 35 weeks pregnant.
Correct Answer is A
Explanation
A decrease in fetal heart rate can indicate fetal distress due to infection, hypoxia, or cord compression.
Normal fetal heart rate is between 110 and 160 beats per minute.
Choice B. Increased uterine contractions is wrong because it is a normal sign of pre-term labor and does not necessarily indicate infection.
Choice C. Decreased fluid intake is wrong because it is not a specific sign of infection and can have other causes such as nausea, vomiting, or decreased thirst.
Choice D. Decreased cervical changes is wrong because it is also not a specific sign of infection and can indicate ineffective contractions or cervical incompetence.
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