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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Providing early feedings can help prevent hypoglycemia, a common complication of polycythemia.
B. Maintaining oxygen saturation parameters, which can indicate the adequacy of tissue oxygenation and perfusion.
C. Obtaining hemoglobin and hematocrit laboratory tests is essential for diagnosing and monitoring polycythemia.
D. Polycythemic neonates may have decreased urinary output due to reduced renal blood flow, dehydration, or increased risk of thrombosis. The nurse should monitor the urinary output and report any signs of oliguria, anuria, hematuria, or renal failure.
E. A peripheral IV is a catheter inserted into a vein to administer fluids, medications, or blood products. Polycythemic neonates may require a partial exchange transfusion, which is a procedure where some of the neonate's blood is removed and replaced with normal saline or donor blood. This can help lower the hematocrit and viscosity and improve oxygen delivery and tissue perfusion. The nurse should insert a peripheral IV and prepare for the transfusion as ordered by the physician.
Correct Answer is A
Explanation
A. At 9 months of age, babies are able to crawl and explore their environment. They may pick up and put anything in their mouth, which can cause choking or poisoning. Therefore, the nurse should warn the mother about keeping the floor clear of small objects, such as coins, buttons, beads, or toys with detachable parts.
B. Safety procedures during baths are crucial, but this topic may have been covered in earlier visits or could be discussed alongside creating a toddler-safe home.
C. This more relevant for older babies or toddlers who can stand, walk, or climb.
D. Cautioning about putting the baby in a walker is important, but it may not be the most immediate concern at 9 months, as many babies start using walkers around 6-9 months. Creating a safe home environment encompasses a broader range of potential hazards.
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