The nurse is caring for an infant born after 37 weeks' gestation ...

[TVarnum]

The nurse is caring for an infant born after 37 weeks' gestation who weighs 1,750 g (3 pounds, 10 ounces). The head circumference and length are at the 25th percentile. What statement would the nurse expect to find in the chart?
 
  1. Preterm appropriate for gestational age, symmetrical intrauterine growth restriction.
   2. Term small for gestational age, symmetrical intrauterine growth restriction.
   3. Preterm small for gestational age, asymmetrical intrauterine growth restriction.
   4. Preterm appropriate for gestational age, asymmetrical intrauterine growth restriction.

Question 2

A child of a family whose members were injured and who lost their home in a house fire 3 months ago is in the clinic for follow-up care.
 
  The nurse concludes that the goals for the child have been met when the parents tell the nurse which of the following? 1. We have hired an architect to plan our new home..
   2. We have sent the child back to school and he is doing well..
   3. We are still living with relatives..
   4. We are suing the builder for a defect that caused the fire..

[Carliemb17]

Answer to Question 1

3. Preterm small for gestational age, asymmetrical intrauterine growth restriction.

Rationale:
The infant is preterm at 37 weeks. Because the weight is below the 10th percentile, the infant is not appropriate for gestational age but is considered small for gestational age. Head circumference and length between the 10th and 90th percentiles indicate asymmetrical intrauterine growth restriction. Symmetrical intrauterine growth restriction would have head circumference below the 10th percentile.

Answer to Question 2

2. We have sent the child back to school and he is doing well..

Rationale:
Having the family state that the child is doing well in school indicates that the child has adjusted. Telling the nurse that they are building a new home does not suggest that the child's goal has been met. If the family is still living with relatives, they may still be dealing with grief by not moving on. To sue the builder could be an indication that the family is still in the anger phase of grief.

[TVarnum]

Excellent

[Zebsrer]

TYSM