What will the nurse note when assessing an infant with asymmetric ...

[Pineappleeh]

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?
 
  a. One side of the body appears slightly smaller than the other.
  b. All body parts appear proportionate.
  c. The head seems large compared with the rest of the body.
  d. The extremities are disproportionate to the trunk.

Question 2

The nurse auscultates the fetal heart rate and determines a rate of 152 . Which nursing intervention is appropriate?
 
  a. Inform the mother that the rate is normal.
  b. Reassess the fetal heart rate in 5 minutes because the rate is too high.
  c. Report the fetal heart rate to the physician or nurse-midwife immediately.
  d. Tell the mother that she is going to have a boy because the heart rate is fast.

[catron30]

Answer to Question 1

C
In asymmetric intrauterine growth restriction, the head is normal in size but appears large because the infant's body is long and thin due to lack of subcutaneous fat.
The left and right side growth should be symmetric. With asymmetric intrauterine growth restrictions, the body appears smaller than normal compared to the head.
The body parts are out of proportion, with the body looking smaller than expected due to the lack of subcutaneous fat.
The body, arms, and legs have lost subcutaneous fat so they will look small compared to the head.

Answer to Question 2

A
The fetal heart rate is within the normal range, so no other action is indicated at this time.

[Pineappleeh]

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[Perkypinki]

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