A nurse is providing teaching to the mother of a newborn born small for gestational age.
Which of the following should the nurse include as a possible cause of this condition?

Preterm delivery

Fetal hyperinsulinemia

Perinatal asphyxia

Placental insufficiency

Answer and Explanation

The Correct Answer is D

A.   Preterm delivery may result in a newborn being small for gestational age, but it is not the primary cause of this condition.
B.   Fetal hyperinsulinemia may contribute to macrosomia (large for gestational age) rather than small for gestational age.
C.   Perinatal asphyxia may lead to intrauterine growth restriction but is not a primary cause of being small for gestational age.
D.   Placental insufficiency is a common cause of intrauterine growth restriction and results in inadequate nutrient and oxygen delivery to the fetus, leading to a newborn being small for gestational age.

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Correct Answer is B

Explanation

A. An apical heart rate of 130/min is within the normal range for a newborn and does not require further assessment by the provider.
B. Documenting this as an expected finding is appropriate as the normal range for a newborn's heart rate is typically between 120-160 beats per minute.
C. Asking another nurse to verify the heart rate may delay care unnecessarily, as the rate is within the expected range.
D. There is no indication to prepare the newborn for transport to the NICU based solely on an apical heart rate of 130/min, as this is within the normal range.

A. "Place the retainer clip across the newborn's abdomen." B. "Keep the car seat rear-facing until the newborn can sit unsupported." C. "Position the newborn at a 45-degree angle in the car seat." D. "Place the shoulder harness straps below the level of the newborn's armpits."

Correct Answer is C

Explanation

a. "Place the retainer clip across the newborn's abdomen":

This statement is incorrect and potentially dangerous. The retainer clip should be positioned at the level of the armpits to secure the harness straps. Placing it across the abdomen could cause abdominal injury in the event of sudden braking or a crash.

b. "Keep the car seat rear-facing until the newborn can sit unsupported":

While this is generally true and important safety advice, it is not directly related to the positioning of the newborn in the car seat. Instead, it addresses the orientation of the car seat itself. Rear-facing car seats are safer for infants as they provide better protection for the head, neck, and spine in the event of a crash.

c. "Position the newborn at a 45-degree angle in the car seat":

This is the correct recommendation. Newborns should be positioned at a 45-degree angle in the car seat to prevent their head from falling forward and potentially obstructing their airway. Many car seats come with angle adjusters or indicators to help achieve this optimal positioning.

d. "Place the shoulder harness straps below the level of the newborn's armpits":

Placing the shoulder harness straps below the level of the newborn's armpits is incorrect. The straps should be positioned at or slightly below the level of the shoulders to provide proper restraint. Placing them too low increases the risk of the baby slipping out of the harness in the event of a crash.

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A nurse is providing teaching to the mother of a newborn born small for gestational age. Which of the following should the nurse include as a possible cause of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is teaching the parent of a newborn about car seat use. Which of the following information should the nurse include?

Correct Answer is C

Explanation

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A nurse is providing teaching to the mother of a newborn born small for gestational age.
Which of the following should the nurse include as a possible cause of this condition?