This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A small-for-gestational-age (SGA) newborn is admitted to the NICU. The nurse notes that the baby's ... (Read 68 times)

tfester

  • Hero Member
  • *****
  • Posts: 534
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Juro

  • Sr. Member
  • ****
  • Posts: 337
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.


tfester

  • Member
  • Posts: 534
Reply 2 on: Jun 28, 2018
Thanks for the timely response, appreciate it

covalentbond

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Baby Dolphin Baby Dolphin
A nest containing baby rabbits A nest containing baby rabbits
Snout and mouth of sand tiger shark, showing protruding teeth and small eyes Snout and mouth of sand tiger shark, showing protruding teeth and small eyes
A galago, or bush baby. A galago, or bush baby.
Ileal conduit. A segment of ileum is separated from the small intestine and formed into a tubular ... Ileal conduit. A segment of ileum is separated from the small intestine and formed into a tubular ...
Video: Neurotransmission at chemical synapses & Excitory and inhibitory potentials

For a complete list of videos, visit our video library