Author Question: A small-for-gestational-age (SGA) newborn is admitted to the NICU. The nurse notes that the baby's ... (Read 77 times)

tfester · **on:** Jun 28, 2018

A small-for-gestational-age (SGA) newborn is admitted to the NICU. The nurse notes that the baby's head circumference is in the 68th percentile for gestational age, but the baby's weight is under the 10th percentile.

The baby also has a scaphoid abdomen and long fingernails. How does the nurse classify this baby in the handoff report?
A.
Asymmetrical intrauterine growth restriction
B.
Cold-stressed infant
C.
Intrauterine growth retardation
D.
Small for gestational age

Question 2

A nurse assesses an infant using the Premature Infant Pain Profile and gives the baby a score of 19. What action by the nurse is most appropriate?

A.
Administer morphine (Astramorph).
B.
Give an oral sucrose solution.
C.
Provide nonnutritive sucking.
D.
Swaddle and cuddle the infant.

Juro · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
An SGA newborn has a weight under the 10th percentile for gestational age. This results from intrauterine growth restriction (IUGR). A baby with symmetrical IUGR has low weight plus a head circumference that falls below the 10th percentile. Asymmetrical IUGR results in weight under the 10th percentile and a head of an appropriate size. The terminology intrauterine growth retardation is no longer used. This baby is not cold stressed.

Answer to Question 2

ANS: A
The Premature Infant Pain Profile is a common pain tool used in NICUs. Scores range from 0to 21. The higher the score, the worse pain the baby is in. A score of 19 indicates severe pain, and the nurse needs to administer morphine sulfate. The other options are all useful treatments for pain, but in this case, the severity of the pain warrants the opioid analgesic.