A premature infant is on oxygen therapy. Due to oxygen therapy, the nurse explains to the parents that their infant is at a higher risk for:
Visual impairment.
Sensitivity to touch.
Hyperbilirubinemia.
Cerebral palsy.
The Correct Answer is A
Choice A rationale
Visual impairment, including retinopathy of prematurity, results from immature retinal vascularization and oxidative damage caused by prolonged oxygen therapy in premature infants, leading to neovascularization and potential retinal detachment.
Choice B rationale
Sensitivity to touch reflects neurologic immaturity or overstimulation in premature infants but is not directly associated with oxygen therapy. It stems from underdeveloped sensory pathways and an immature central nervous system.
Choice C rationale
Hyperbilirubinemia arises from excessive bilirubin production or impaired hepatic clearance in neonates, unrelated to oxygen therapy. Factors include hemolysis, immature liver enzyme systems, or delayed feeding initiation.
Choice D rationale
Cerebral palsy, a motor disorder due to non-progressive brain injury, can result from perinatal asphyxia or intracranial hemorrhage, but it is not a direct outcome of oxygen therapy in premature infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Stating the bleeding is normal and linking it to stitches being loosened downplays the severity. Postpartum bleeding that saturates one pad in 30 minutes requires urgent evaluation to prevent complications like hypovolemic shock.
Choice B rationale
Menstruation typically resumes several weeks to months postpartum, depending on lactation. Heavy bleeding in this scenario is unlikely to be menstrual and requires medical attention to rule out hemorrhage or uterine atony.
Choice C rationale
Significant postpartum bleeding exceeding normal lochia patterns suggests a possible hemorrhage or retained products of conception, warranting immediate emergency department evaluation for prompt treatment and stabilization.
Choice D rationale
Bed rest is not appropriate in this case, as the heavy bleeding could indicate a life-threatening condition that demands immediate medical intervention rather than conservative management like rest.
Correct Answer is D
Explanation
Choice A rationale
Support groups provide emotional connection, but they do not address immediate concerns like the parents' involvement in care, which is essential for fostering confidence and bonding with the baby.
Choice B rationale
Limiting visits could increase parental anxiety and hinder their emotional connection to their baby. Parental involvement in care improves attachment and reduces stress, making this suggestion counterproductive to emotional health.
Choice C rationale
Advising parents to avoid attachment disregards the importance of early bonding in the neonatal period, which plays a key role in long-term emotional and psychological development for both the child and the parents.
Choice D rationale
Regular updates and including parents in the baby’s care empower them, promoting attachment and reducing feelings of helplessness. Parent-infant interaction has been shown to enhance coping mechanisms and improve family dynamics.
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