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In preterm neonates, administration of high-flow oxygen without monitoring can predispose to which complication?
Question

In preterm neonates, administration of high-flow oxygen without monitoring can predispose to which complication?

A.

Necrotizing enterocolitis

B.

Retinopathy of prematurity

C.

Bronchopulmonary dysplasia

D.

Intraventricular hemorrhage

Correct option is B

High oxygen tension causes abnormal retinal vessel proliferation → fibrosis and detachment → retinopathy of prematurity (ROP), a preventable cause of blindness.
Explanation of options: (a) ✘ NEC is related to hypoxia/ischemia, not hyperoxia. (b) ✔ Correct; high O₂ → retinal neovascularization → ROP. (c) ✘ BPD is linked to prolonged ventilation/barotrauma. (d) ✘ IVH is due to fragile germinal matrix, not oxygen therapy.

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