A 30 weeks' gestation neonate born with low Apgar scores is in the neonatal intensive care unit with respiratory distress syndrome and underwent an exchange transfusion for anemia. Which factors place the neonate at risk for necrotizing enterocolitis? Select all that apply

hyperthermia

low Apgar scores

preterm birth

respiratory distress syndrome

exchange transfusion

hyperglycemia

Answer and Explanation

Correct Answer : B,C,D,E

A.   Hyperthermia is not typically associated with an increased risk of necrotizing enterocolitis.
B.   Low Apgar scores indicate that the baby had difficulty adapting to life outside the womb and may have suffered from hypoxia or acidosis.
C.   Preterm birth is a significant risk factor for necrotizing enterocolitis.
D.   Respiratory distress syndrome is associated with prematurity and is a risk factor for necrotizing enterocolitis.
E.   Exchange transfusion, a procedure often performed in neonates with severe jaundice or anemia, is associated with an increased risk of necrotizing enterocolitis.
F.   Hyperglycemia is not typically associated with an increased risk of necrotizing enterocolitis.

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Correct Answer is A

Explanation

A. Bladder capacity varies with age and gender. The formula for bladder capacity, is (age + 2) x 30 ml. For a 9-year-old girl, the bladder capacity is (9 + 2) x 30 ml = 330 ml approximately 12 ounces.
B. This is a lower capacity than the estimated one for a 9-year-old girl.
C. This is a lower capacity than the estimated one for a 9-year-old girl.
D. This is a lower capacity than the estimated one for a 9-year-old girl.

A. Wanting their friends to visit them in the hospital more than their parents B. Being very concerned with implications of the Affordable Care Act regarding healthcare benefits C. Wanting to make decisions about health care independently D. Difficulty understanding the implications their diagnosis might present E. Reporting that he smokes marijuana occasionally.

Correct Answer is ["A","B","C"]

Explanation

A. Wanting friends to visit more than parents is more indicative of this stage, as they reflect the client's interest in social relationships.
B. Being very concerned with implications of laws or regulations demonstrates abstract thinking and consideration of complex societal issues, characteristic of middle formal operational thinking.
C. Wanting to make decisions about healthcare independently reflects increasing autonomy and ability to think abstractly.
D. Difficulty understanding implications of a diagnosis may indicate cognitive limitations rather than middle formal operational thinking.
E. Reporting occasional marijuana use may indicate behavior but does not necessarily reflect cognitive development according to Piaget's theory.

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A 30 weeks' gestation neonate born with low Apgar scores is in the neonatal intensive care unit with respiratory distress syndrome and underwent an exchange transfusion for anemia. Which factors place the neonate at risk for necrotizing enterocolitis? Select all that apply

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The nurse is using the formula for bladder capacity to measure the bladder capacity of a 9-year-old girl what number would the nurse document measurement?

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