Author Question: Which refers to a newborn whose rate of intrauterine growth was slowed and whose birth weight falls ... (Read 65 times)

big1devin · **on:** Jun 28, 2018

Which refers to a newborn whose rate of intrauterine growth was slowed and whose birth weight falls below the 10th percentile on intrauterine growth charts?

a. Postterm
b. Postmature
c. Low birth weight
d. Small for gestational age

Question 2

The nurse is caring for a very lowbirth-weight (VLBW) newborn with a peripheral intravenous infusion. Which statement describes nursing considerations regarding infiltration?

a. Infiltration occurs infrequently because VLBW newborns are inactive.
b. Continuous infusion pumps stop automatically when infiltration occurs.
c. Hypertonic solutions can cause severe tissue damage if infiltration occurs.
d. Infusion site should be checked for infiltration at least once per 8-hour shift.

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

Answer to Question 1

ANS: D
A small-for-gestational-age (or small-for-date) newborn is any child whose rate of intrauterine growth was slowed and whose birth weight falls below the 10th percentile on intrauterine growth curves. A postterm or postmature newborn is any child born after 42 weeks of gestational age, regardless of birth weight. A lowbirth-weight newborn is a child whose birth weight is less than 2500 g, regardless of gestational age.

Answer to Question 2

ANS: C
Hypertonic fluids can damage cells if the fluid leaks from the vein. Careful monitoring is required to prevent severe tissue damage. Infiltrations occur for many reasons, not only activity. The vein, catheter, and fluid used all contribute to the possibility of infiltration. The continuous infusion pump may alarm when the pressure increases, but this does not alert the nurse to all infiltrations. Infusion rates and sites should be checked hourly to prevent tissue damage from extravasations, fluid overload, and dehydration.