The mother of a premature newborn asks the nurse why the baby's eyes are cloudy. The nurse should respond to the mother by saying:
1. "It happens with most newborns.".
2. "It is seen with premature infants.".
3. "It is because you developed an illness while carrying the baby before birth.".
4. "It is because of an allergic reaction.".
2. "It is seen with premature infants.".
Rationale:
Some cataracts, present at birth or acquired, are because of retinopathy of prematurity, metabolic diseases such as galactosemia, and long-term use of corticosteroids. The nurse should explain that cataracts are seen in babies who are premature. Cataracts are not seen with most newborns. At one time, a major cause of congenital cataracts was congenital rubella syndrome; however, now that children and women receive rubella vaccine, there are very few cases of cataracts due to congenital rubella syndrome. Cataracts are not caused by an allergic reaction.
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