The nurse is caring for four clients. The client with the highest risk of developing retinopathy of prematurity is the:
1. 30-weeks'-gestation infant who was in an Oxy-Hood for 12 hours and weighed 1800 g.
2. 32-weeks'-gestation infant who needed no oxygen and weighed 1850 g.
3. 28-weeks'-gestation infant who has been on long-term oxygen and weighed 1400 g.
4. 28-weeks'-gestation infant who was on short-term oxygen and weighed 1420 g.
3
Rationale:
1. The 28-week infant on oxygen weighing 1400 g has the highest risk of retinopathy of prema-turity because of gestational age (28 weeks or less), weight (less than 1500 g), and oxygen thera-py. The other neonates have fewer risk factors.
2. The 28-week infant on oxygen weighing 1400 g has the highest risk of retinopathy of prema-turity because of gestational age (28 weeks or less), weight (less than 1500 g), and oxygen thera-py. The other neonates have fewer risk factors.
3. The 28-week infant on oxygen weighing 1400 g has the highest risk of retinopathy of prema-turity because of gestational age (28 weeks or less), weight (less than 1500 g), and oxygen thera-py. The other neonates have fewer risk factors.
4. The 28-week infant on oxygen weighing 1400 g has the highest risk of retinopathy of prema-turity because of gestational age (28 weeks or less), weight (less than 1500 g), and oxygen thera-py. The other neonates have fewer risk factors.
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