Author Question: Small-for-gestational-age infants often have complications at birth, but they may also experience ... (Read 58 times)

Metfan725 · **on:** Jun 28, 2018

Small-for-gestational-age infants often have complications at birth, but they may also experience long-term complications. The long-term effect that is most likely to occur in SGA infants is:

1. Change from thin and underweight as a child to overweight or obese as adolescents
2. Poor fine motor coordination
3. Paralysis below the hips
4. Permanent disfiguration

Question 2

The nurse is caring for pregnant patients. Which of these clients should the nurse anticipate is most likely to have a newborn at risk for mortality or morbidity?

1. 37-year-old G8 P2323, works in a chemical factory
2. 23-year-old primip, low socioeconomic status, unmarried
3. 16-year-old primip, began prenatal care at 30 weeks
4. 28-year-old G2 P1001, history of gestational diabetes

Jevvish · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer:
Rationale 1: This long-term effect is often seen in children with fetal alcohol syndrome, not SGA.
Rationale 2: SGA infants are likely to develop cognitive disabilities such as poor fine motor coordination, hyperactivity, learning disabilities, and hearing loss.
Rationale 3: Many infants with myelomeningocele will suffer life-long paralysis below the site of the cyst. Paralysis is not generally associated with SGA infants.
Rationale 4: Although it may occur, disfiguration is not commonly associated with SGA infants. Instead, disfiguration is more likely to remain in infants with congenital anomalies such as cleft lip/cleft palate, even after corrective surgery.

Answer to Question 2

Correct Answer: 1
Rationale 1: This patient is at greatest risk because she has multiple risk factors: age over 35, high parity, history of preterm birth, and exposure to chemicals that might be toxic.
Rationale 2: The main risk factor for this patient is her low socioeconomic status.
Rationale 3: This patient has two risk factors: young age and late onset of prenatal care.
Rationale 4: This patient has gestational diabetes history as her only risk factor.