Which neonate requires a close nursing assessment for the development of retinopathy of prematurity (ROP)?
1. 28-weeks'-gestation infant who has been on long-term oxygen and weighed 1400 g
2. 32-weeks'-gestation infant of African heritage with a congenital heart defect who needed no oxygen and weighed 1850 g
3. 28-weeks'-gestation female infant who was on short-term oxygen, weighed 1420 g, and was treated with phototherapy
4. 36-weeks'-gestation, small-for-gestational-age infant who was in an oxyhood for 12 hours and weighed 1800 g
1
Explanation:
1. The 28-weeks'-gestation infant on oxygen weighing 1400 g has the greatest risk of retinopathy of prematurity because of gestational age (28 weeks or less), weight (less than 1600 g), and oxygen therapy.
2. The 32-weeks'-gestation infant was not placed on oxygen, and therefore is not at risk. Risk for developing retinopathy of prematurity is lower for infants of African heritage than White infants. Congenital heart defects are not associated with ROP.
3. The 28-weeks'-gestation infant was only placed on short-term oxygen. Phototherapy is associated with hyperbilirubinemia and is not associated with ROP.
4. The 36-weeks'-gestation infant was on oxygen for a short period of time. A small-for-gestational-age baby would be more mature than an infant of the same weight but lower gestational age.
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