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 D

Explanation

A. A height of 47 inches would indicate excessive growth.
B. A height of 41 inches would indicate insufficient growth.
C. A height of 45 inches would be slightly above the normal range.
D. The normal range of growth for a preschooler varies, but typically, a child will grow approximately 2-3 inches per year. Given that the girl was 40 inches tall at age 4, a height of 43 inches at age 5 would be within the expected range of growth.

A. Stimulation methods B. Therapeutic hugging C. Distraction methods D. Therapeutic touch

Correct Answer is C

Explanation

A. Stimulation methods may be used to engage the child's senses, but they are not primarily focused on keeping the child safe during a procedure like a lumbar puncture.
B. Therapeutic hugging can provide comfort and emotional support but may not directly address the safety needs of the child during the procedure.
C. Distraction methods, such as providing toys, games, or music, help divert the child's attention away from the procedure, reducing anxiety and promoting a sense of safety.
D. Therapeutic touch can be comforting but may not specifically address safety concerns during the procedure.

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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 D

Explanation

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Correct Answer is C

Explanation

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