The nurse is caring for four clients in the neonatal intensive ...

[lunatika]

The nurse is caring for four clients in the neonatal intensive care unit. Which infant has the greatest risk of developing retinopathy of prematurity (ROP)?
 
  1. 28-weeks'-gestation infant who has been on long-term oxygen and weighed 1,400 grams
  2. 32-weeks'-gestation infant of African heritage with a congenital heart defect who needed no oxygen and weighed 1,850 grams
  3. 28-weeks'-gestation female infant who was on short-term oxygen, weighed 1,420 grams, and was treated with phototherapy
  4. 36-weeks'-gestation, small-for-gestational-age infant who was in an oxyhood for 12 hours and weighed 1,800 grams

Question 2

The community health nurse is assessing several families for various strengths and needs in regard to afterschool and backup child care arrangements.
 
  The family type that typically will benefit most from this assessment and subsequent interventions is the: 1. Traditional nuclear family.
  2. Extended family.
  3. Binuclear family.
  4. Single-parent family.

[potomatos]

Answer to Question 1

1
Rationale 1: The 28-weeks'-gestation infant on oxygen weighing 1,400 grams has the greatest risk of retinopathy of prematurity because of gestational age (28 weeks or less), weight (less than 1,600 g), and oxygen therapy.
Rationale 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 Caucasian infants. Congenital heart defects are not associated with ROP.
Rationale 3: The 28-weeks'-gestation infant was only placed on short-term oxygen. Phototherapy is associated with hyperbilirubinemia and is not associated with ROP.
Rationale 4: The 36-weeks'-gestation infant was on oxygen for 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.
Global

Answer to Question 2

4
Rationale 1: The traditional nuclear family has two adults who can share in the care and nurturing of its children.
Rationale 2: The extended family generally has two or more adults who can share in the care and nurturing of its children.
Rationale 3: The binuclear family generally has at least two adults who can share in the care and nurturing of its children.
Rationale 4: The single-parent family most typically lacks social, emotional, and financial resources. Nursing considerations for such families should include referrals to options that will enable the parent to fulfill work commitments while providing the child with access to resources that can support the child's growth and development.
Global Rationale:

[lunatika]

Gracias!

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