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

[michelleunicorn]

What will the nurse note when assessing an SGA 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

What nursing action is especially important for the SGA newborn?
 
  a. Observe for respiratory distress syndrome.
  b. Observe for and prevent dehydration.
  c. Promote bonding.
  d. Prevent hypoglycemia by early and frequent feedings.

[leeeep]

Answer to Question 1

C
Feedback
A The left and right side growth should be symmetric. With asymmetric
intrauterine growth restrictions, the body appears smaller than normal compared
to the head.
B The body parts are out of proportion, with the body looking smaller than
expected due to the lack of subcutaneous fat.
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.
D The body, arms, and legs have lost subcutaneous fat so they will look small
compared to the head.

Answer to Question 2

D
Feedback
A Respiratory distress syndrome is seen in preterm infants.
B Dehydration is a concern for all infants and is not specific for SGA infants.
C Promoting bonding is a concern for all infants and is not specific for SGA
infants.
D The SGA infant has poor glycogen stores and is subject to hypoglycemia.