When planning the care for a small for gestational age (SG
Assess for a cephalohematoma.
Assess for hypoglycemia.
Observe for necrotizing enterocolitis.
Assess for immature reflexes.
The Correct Answer is B
Choice A rationale
Cephalohematoma is a collection of blood between a newborn's scalp and the skull bone, often caused by birth trauma, but it's not specifically related to small for gestational age (SGA) assessment.
Choice B rationale
Hypoglycemia is a common concern in SGA newborns because they have less stored glucose and glycogen, making blood glucose level monitoring critical.
Choice C rationale
Necrotizing enterocolitis is a serious condition in premature newborns involving inflammation and damage to the intestines, but it is not specific to SGA newborns.
Choice D rationale
Immature reflexes are assessed in newborns, but hypoglycemia takes priority in SGA newborns due to their higher risk of low blood sugar.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
It is important to encourage breastfeeding rather than offering formula, especially if the mother wishes to breastfeed.
Choice B rationale
Pumping is not necessary at this time as the baby is just 4 hours old and establishing feeding patterns.
Choice C rationale
Consulting the pediatrician is not immediately necessary for this situation.
Choice D rationale
Teaching the mother about newborn sleep and hunger patterns is appropriate, as newborns often have irregular feeding schedules in the first few days. .
Correct Answer is C
Explanation
Choice A rationale
While burping is important after feeding to prevent discomfort and regurgitation, it does not directly indicate overall health or hydration status.
Choice B rationale
Frequent loose yellow stools are typical in breastfed infants and indicate proper digestion and nutrition, but do not address overall hydration status directly.
Choice C rationale
Steady weight gain indicates good nutrition and overall health in the infant, reflecting adequate feeding and hydration.
Choice D rationale
Sleeping through the night is not an expectation for newborns, as they typically need frequent feeding due to small stomach capacity and rapid growth needs.
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