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 ["A","B","D","E"]

Explanation

A. This principle aims to prevent or minimize the complications associated with preterm births, such as respiratory distress, bleeding, infection, and developmental delays.
B. Early identification of prenatal risk factors and taking actions to mitigate them can help reassure the client by demonstrating proactive care.
C. While important, this choice is more about addressing potential outcomes rather than preventing complications during pregnancy.
D. Ensuring care for mothers and infants to reduce adverse outcomes addresses the concerns about complicated pregnancies by emphasizing preventive measures.
E. This choice focuses on ensuring appropriate care for high-risk infants, which is relevant to addressing concerns about complicated pregnancies.

A. Before answering questions, find out what the child thinks about the subject. B. Expand upon the topic when answering questions to prevent further confusion. C. Provide a less than honest response to shelter the child from knowledge that is too advanced. D. Be prepared to thoroughly cover a topic before the child asks about it.

Correct Answer is A

Explanation

A. Before answering questions, it's important to understand what the child already knows or thinks about the subject to provide developmentally appropriate information.
B. Expanding upon the topic when answering questions may overwhelm the child with too much information and may not be developmentally appropriate.
C. Providing a less than honest response may undermine trust between the parent and child and may not adequately address the child's curiosity or concerns.
D. Waiting until the child asks about a topic may miss opportunities for proactive, age-appropriate education and guidance.

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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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