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 ["C","D","E"]

Explanation

A. Providing praise when deserved is important for reinforcing positive behavior and fostering self-esteem.
B. Speaking to the child as an authority figure may create distance and hinder effective communication.
C. Talking face to face and being aware of body language can enhance communication and understanding between parents and adolescents.
D. Acknowledging uncertainty and not pretending to have all the answers can foster honesty and openness in communication.
E. Asking questions to understand the adolescent's perspective and feelings encourages dialogue and mutual understanding.
F. Admitting mistakes and modeling accountability is important for building trust and demonstrating humility in parent-adolescent relationships.

A. Before answering questions, find out what the child thinks about the subject. B. Expand upon the topic when answering questions to prevent further confusion. C. Provide a less than honest response to shelter the child from knowledge that is too advanced. D. Be prepared to thoroughly cover a topic before the child asks about it.

Correct Answer is A

Explanation

A. Before answering questions, it's important to understand what the child already knows or thinks about the subject to provide developmentally appropriate information.
B. Expanding upon the topic when answering questions may overwhelm the child with too much information and may not be developmentally appropriate.
C. Providing a less than honest response may undermine trust between the parent and child and may not adequately address the child's curiosity or concerns.
D. Waiting until the child asks about a topic may miss opportunities for proactive, age-appropriate education and guidance.

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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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