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