The nurse prepares to assess a newborn who is considered to be large-for-gestational-age (LGA). Which characteristic would the nurse correlate with this gestational age variation?

birthweight of 7 lb, 14 oz (3,572 g)

strong, brisk motor skills

difficulty in arousing to a quiet alert state

wasted appearance of extremities

Answer and Explanation

The Correct Answer is C

A.   A birthweight above the 90th percentile for gestational age is characteristic of large-for-gestational-age newborns. The above birth weight is within the normal ranges.
B.   Strong, brisk motor skills are not necessarily indicative of being large-for- gestational-age.
C.   Large-for-gestational-age newborns. They may have difficulty in arousing to a quiet alert state due to hypoglycemia, hypocalcemia, or polycythemia.
D.   A wasted appearance of extremities is more indicative of intrauterine growth restriction (IUGR) rather than being large-for-gestational-age. LGA newborns typically have plump and rosy appearance.

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Correct Answer is C

Explanation

A. While screening for abuse is important in all children, it may not be the priority in this case without specific indications.
B. Screening for congenital defects may be relevant but may not be the priority unless indicated by the child's medical history or initial assessment.
C. Screening for infectious diseases is important, especially in internationally adopted children, to detect and manage any communicable diseases that may be prevalent in their country of origin.
D. Screening for childhood illnesses is important but may not be the priority compared to screening for infectious diseases given the child's international adoption status.

A. Fluid loss of the neonate will be minimized. B. Neonatal weight loss will be prevented. C. Assessment of hyperbilirubinemia will be monitored. D. Perfusing to the exposed abdominal contents will be maintained. E. The abdominal contents are protected.

Correct Answer is ["A","D","E"]

Explanation

A. Minimizing fluid loss is important in the care of a neonate with an omphalocele to prevent dehydration.
B. Preventing neonatal weight loss is not directly related to the care of an omphalocele.
C. While monitoring for hyperbilirubinemia is important in neonatal care, it's not specific to the care of an omphalocele.
D. Maintaining perfusion to the exposed abdominal contents is essential for preventing complications such as ischemia or necrosis.
E. Protecting the abdominal contents helps prevent infection and trauma to the exposed organs.

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The nurse prepares to assess a newborn who is considered to be large-for-gestational-age (LGA). Which characteristic would the nurse correlate with this gestational age variation?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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A preterm newborn is admitted to the neonatal intensive care with the diagnosis of an omphalocele. What nursing actions would the nurse perform? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

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