Author Question: What is the most common cause of iatrogenic anemia in preterm infants? a. Frequent blood sampling ... (Read 59 times)

cmoore54 · **on:** Jun 28, 2018

What is the most common cause of iatrogenic anemia in preterm infants?

a. Frequent blood sampling
b. Respiratory distress syndrome
c. Meconium aspiration syndrome
d. Persistent pulmonary hypertension

Question 2

The nurse is caring for a neonate with respiratory distress syndrome. The infant has an endotracheal tube. What should nursing considerations related to suctioning include?

a. Suctioning should not be carried out routinely.
b. The infant should be in the Trendelenburg position for suctioning.
c. Routine suctioning, usually every 15 minutes, is necessary.
d. Frequent suctioning is necessary to maintain the patency of the bronchi.

bulacsom · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
The most common cause of anemia in preterm infants is frequent blood-sample withdrawal and inadequate erythropoiesis in acutely ill infants. Microsamples should be used for blood tests, and the amount of blood drawn should be monitored. Respiratory distress syndrome, meconium aspiration syndrome, and persistent pulmonary hypertension are not causes of anemia. They may require frequent blood sampling, which contributes to the problem of decreased erythropoiesis and anemia.

Answer to Question 2

ANS: A
Suctioning is not an innocuous procedure and can cause bronchospasm, bradycardia, hypoxia, and increased intracranial pressure (ICP). It should never be carried out routinely. The Trendelenburg position should be avoided because it can contribute to increased ICP and reduced lung capacity from gravity pushing the organs against the diaphragm.