Neonatal Nurse Practitioner Practice Exam

Which factor is NOT typically associated with increased risk of anemia in premature infants?

1. Early initiation of feeding

2. Low birth weight

3. Delayed cord clamping

4. Inadequate iron stores

The correct answer is: Delayed cord clamping

Delayed cord clamping is not typically associated with an increased risk of anemia in premature infants. This practice involves postponing the clamping of the umbilical cord for a brief period after birth, which allows for the transfer of additional blood from the placenta to the newborn. This increased blood volume can enhance the infant's iron and red blood cell reserves, thereby reducing the risk of anemia. In contrast, early initiation of feeding, low birth weight, and inadequate iron stores are factors that are more likely to contribute to anemia in this vulnerable population. Early feeding, particularly if not managed properly, can lead to decreased nutrient intake and inadequate iron levels. Low birth weight infants often have reduced iron stores and may not receive sufficient iron through their diet. Similarly, inadequate iron stores can directly lead to anemia as iron is critical for hemoglobin production.