ATI Pediatric Exam Nursing 228 | Nurselytic

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ATI Pediatric Exam Nursing 228 Questions

Extract:

A 30 weeks' gestation neonate with low Apgar scores, respiratory distress syndrome, and exchange transfusion for anemia


Question 1 of 5

A 30 weeks' gestation neonate born with low Apgar scores is in the neonatal intensive care unit with respiratory distress syndrome and underwent an exchange transfusion for anemia. Which factors place the neonate at risk for necrotizing enterocolitis? Select all that apply

Correct Answer: B,C,D,E

Rationale: The correct factors that place the neonate at risk for necrotizing enterocolitis are low Apgar scores (
B), preterm birth (
C), respiratory distress syndrome (
D), and exchange transfusion (E). Low Apgar scores indicate potential perinatal asphyxia, which can compromise intestinal perfusion. Preterm birth and respiratory distress syndrome are associated with immature gastrointestinal function and impaired mucosal barrier integrity, increasing susceptibility to necrotizing enterocolitis. Exchange transfusion can lead to intestinal mucosal injury due to changes in blood flow and oxygenation. Hyperthermia (
A) and hyperglycemia (F) are not directly linked to necrotizing enterocolitis in this context.

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