A nurse in a prenatal clinic is caring for a client whose blood pressure is 80/40 mm Hg. The client’s last menstrual period was on May 4, 2023.
What would be the estimated due date for the client?

Choice A rationale

Monitoring weight is important for a newborn who is small for gestational age (SGA), but it is not the priority intervention. Weight can provide information about the newborn’s growth and development, but it does not address immediate physiological needs.
Choice B rationale
Monitoring I&O (Intake and Output) is crucial in assessing the newborn’s hydration status and kidney function. However, it is not the priority intervention for an SGA newborn.
Choice C rationale
Monitoring axillary temperature is important to maintain the newborn’s thermal regulation. However, it is not the priority intervention. Newborns, especially those who are SGA, are at risk for hypothermia due to their high body surface area to volume ratio and lack of subcutaneous fat.
Choice D rationale
Monitoring blood glucose levels is the priority intervention for an SGA newborn. SGA newborns are at risk for hypoglycemia because they have fewer glycogen stores. Hypoglycemia can lead to serious complications such as seizures, hence the need for close monitoring

Choice A rationale
Occiput posterior is a term used to describe the position of the baby’s head during labor and delivery, not a condition related to a collection of blood beneath the newborn’s scalp.
Choice B rationale
Caput succedaneum refers to a localized swelling of the scalp of a newborn caused by pressure on the head during delivery. It is not limited by suture lines and usually resolves within a few days.
Choice C rationale
Cephalohematoma is a collection of blood under the scalp of a newborn baby, specifically between the scalp and the skull, and does not cross the suture lines. It is usually caused by minor trauma to the head during childbirth.
Choice D rationale
Sinciput is a term used to describe the part of the fetal head that is presented first in childbirth, not a condition related to a collection of blood beneath the newborn’s scalp.