A nurse is educating the parents of a preterm infant who has retinopathy of prematurity (ROP).
Which of the following statements should the nurse include in the teaching?
“Your baby will need regular eye exams to monitor the condition.”
“Your baby will need surgery to correct the abnormal blood vessels.”
“Your baby will need oxygen therapy to prevent further damage.”
“Your baby will need glasses to improve his or her vision.”.
The Correct Answer is A
ROP is a condition that affects the blood vessels of the retina in premature infants.
It can cause vision loss or blindness if not treated.
The main treatment for ROP is laser therapy or cryotherapy to stop abnormal blood vessel growth.
However, these treatments do not restore normal vision and may have complications.
Therefore, regular eye exams are needed to monitor the condition and detect any changes or problems.
Choice B is wrong because surgery is not a common treatment for ROP.
Surgery may be done in some cases to reattach the retina if it detaches from the eye wall, but this is a rare and serious complication of ROP.
Choice C is wrong because oxygen therapy can actually worsen ROP.
High levels of oxygen can stimulate the abnormal blood vessel growth in the retina.
Oxygen therapy should be used with caution and only when necessary for premature infants.
Choice D is wrong because glasses do not improve vision in ROP.
Glasses can correct refractive errors such as nearsightedness or farsightedness, but they cannot fix the damage to the retina caused by ROP.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is the recommended method for measuring the head circumference of a preterm infant.
It ensures accuracy by capturing the largest dimension of the head, which reflects the growth of the brain.
Choice B is wrong because it does not measure the widest part of the head, which may be above or below the occiput.
Choice C is wrong because it does not measure the widest part of the head, which may be above or below the ears.
Choice D is wrong because it does not measure the widest part of the head, which may be above or below the chin.
The normal range for head circumference at birth for preterm infants born between 32 and 42 weeks gestation is about 25 to 36 cm.Head circumference should be measured and plotted regularly until two years of age for preterm infants.
Correct Answer is A
Explanation
This is because preterm infants are born before or during critical periods of brain development and need to reduce stress and promote neurological development.Cluster care means grouping care activities together and timing them according to the infant’s cues, such as alertness, hunger, and sleepiness.This way, the infant can have longer periods of undisturbed sleep, which is essential for brain maturation.
Choice B is wrong because keeping the lights and noise level high can cause sensory overload and stress for the preterm infant.The NICU environment should be dimmed and quiet to mimic the womb and support the infant’s circadian rhythm.
Choice C is wrong because avoiding touching or holding the infant can deprive the infant of human contact and bonding, which are important for emotional and social development.Preterm infants can benefit from gentle touch, massage, and kangaroo care, which is holding the baby with direct skin-to-skin contact.These interventions can help with body temperature, breastfeeding, weight gain, and attachment.
Choice D is wrong because changing the infant’s position frequently can disrupt the infant’s sleep and cause stress.Preterm infants should be positioned in a way that supports their posture and alignment, such as flexion, midline orientation, and containment.Positioning aids such as blankets, rolls, or nests can be used to provide boundaries and comfort for the infant.
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