PrepU ch 23

The nurse is weighing a newborn and documents AGA (appropriate for gestational age) on the newborn record. Which weight percentile is anticipated?

20th

Hypoglycemia in a mature infant is defined as a blood glucose level below which amount?

45 mg/100ml whole blood

A client has given birth to a full-term infant weighing 10 pounds, 5 ounces (4678 grams). What priority assessment should be completed by the nurse?

blood glucose

When discussing heat loss in newborns, placing a newborn on a cold scale would be an example of what type of heat loss?

conduction

A nurse is reviewing the maternal history of a large-for-gestational-age (LGA) newborn. Which factor, if noted in the maternal history, would the nurse identify as possibly contributing to the birth of this newborn?

diabetes

The nurse is providing care to a newborn who was born at 36 weeks' gestation. Based on the nurse's understanding of gestational age, the nurse identifies this newborn as:

late preterm

A 35-year-old client has just given birth to a healthy newborn during her 43rd week of gestation. What should the nurse expect when assessing the condition of the newborn?

meconium aspiration in utero or at birth

A client with diabetes gives birth to a full-term neonate who weights 10 lb, 1 oz (4,600 g). While caring for this large-for-gestational-age (LGA) neonate, the nurse palpates the clavicles for which reason?

one of the neonate's clavicles may have been broken during birth

A neonate is born at 42 weeks' gestation weighing 4.4 kg (9 lb, 7 oz) with satisfactory Apgar scores. Two hours later the neonate's blood sugar indicates hypoglycemia. Which symptoms would the baby demonstrate? Select all that apply.

poor sucking, respiratory distress, weak cry, jitteriness

A nurse is developing the plan of care for a small-for-gestational-age newborn. Which action would the nurse determine as a priority?

preventing hypoglycemia with early feedings

Which sign would indicate dehydration in a newborn?

sunken fontanels

A neonate born at 40 weeks' gestation, weighing 2300 grams (5 lb, 1 oz) is admitted to the newborn nursery for observation only. What is the nurse's first observation about the infant?

the neonate is small for its gestational age

A client gives birth to a newborn baby at term. The nurse records the weight of the baby as 1,200 g, interpreting this to indicate that the newborn is of:

very low birth weight