In caring for the preterm infant, which complication is thought to be a result of high arterial blood oxygen level?
a. Necrotizing enterocolitis (NEC)
b. Retinopathy of prematurity (ROP)
c. Intraventricular hemorrhage (IVH)
d. Bronchopulmonary dysplasia (BPD)
ANS: B
ROP is thought to occur as a result of high levels of oxygen in the blood. NEC is due to the interference of blood supply to the intestinal mucosa. Necrotic lesions occur at that site. IVH is caused by rupture of the fragile blood vessels in the ventricles of the brain. It is most often associated with hypoxic injury, increased blood pressure, and fluctuating cerebral blood flow. BPD is caused by the use of positive-pressure ventilation against the immature lung tissue.
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