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

Answer and Explanation

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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Correct Answer is D

Explanation

Maintaining a neutral head position.This action can help reduce the client’s risk of intraventricular hemorrhage (IVH) by preventing fluctuations in intracranial pressure that could rupture blood vessels in the brain.

Choice A is wrong because encouraging early ambulation can increase the risk of IVH by causing changes in blood pressure and cerebral perfusion.

Choice B is wrong because administering medications to induce hypercoagulability can increase the risk of IVH by promoting thrombosis and impairing blood flow to the brain.

Choice C is wrong because monitoring the client’s blood glucose levels is not directly related to the prevention of IVH, although it may be important for other reasons such as avoiding hypoglycemia or hyperglycemia.

A. Increased fetal movement B. Decreased uterine contractions C. Haemorrhage due to placental abruption D. Increased cervical dilation

Correct Answer is C

Explanation

Haemorrhage due to placental abruption.

Placental abruption is a serious complication of preterm labor that occurs when the placenta separates from the wall of the uterus before delivery.This can cause heavy bleeding and endanger the life of both the mother and the baby.

Choice A is wrong because increased fetal movement is not a complication of preterm labor.In fact, decreased fetal movement may indicate fetal distress.

Choice B is wrong because decreased uterine contractions are not a complication of preterm labor.Preterm labor is defined as regular contractions that result in the opening of the cervix before 37 weeks of pregnancy.

Choice D is wrong because increased cervical dilation is not a complication of preterm labor, but a sign of it.Cervical dilation indicates that the cervix is preparing for delivery and may lead to preterm birth.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at risk for developing intraventricular hemorrhage (IVH). Which action should the nurse take to reduce the client's risk?

Correct Answer is D

Explanation

A nurse is caring for a client who has preterm labor. Which manifestation should the nurse identify as a complication of preterm labor?

Correct Answer is C

Explanation

A nurse is performing a physical examination on a client who is at 30 weeks of gestation and has pre-term labor. Which of the following findings indicates fetal distress?

A client at 32 weeks of gestation is diagnosed with pre-term labor. Which intervention should the nurse prioritize to reduce uterine activity?

A nurse is caring for a client in pre-term labor and suspects an infection. Which assessment finding would support this suspicion?

A nurse is performing a physical examination on a client suspected of pre-term labor. Which assessment finding should the nurse report immediately?

A nurse is performing a speculum examination on a client who is at 26 weeks of gestation and has pre-term labor. Which of the following findings indicates a positive FFN test?

A client with pre-term labor is at 28 weeks of gestation. Which intervention should the nurse prioritize to monitor fetal well-being?

A nurse is caring for a newborn who was born prematurely. Which finding should the nurse report as a potential complication of prematurity?

A nurse is assessing a pregnant client at 28 weeks of gestation. Which finding should the nurse prioritize as a potential sign of pre-term labor?

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?