A nurse is caring for a newborn who is small for gestational age (SGA). Which of the following findings should the nurse expect?
Decreased circulating RBC
Blood glucose instability
Retinopathy
Well-rounded abdomen
The Correct Answer is B
Choice A rationale:
Newborns who are small for gestational age (SGA) are not at risk of having decreased circulating red blood cells (RBCs).
Choice B rationale:
Blood glucose instability is a common finding in SGA newborns.
Choice C rationale:
Retinopathy is not typically associated with being small for gestational age in newborns.
Choice D rationale:
A well-rounded abdomen is not specifically associated with being small for gestational age. SGA newborns often have a smaller body size compared to their gestational age, and their abdomen may appear proportionally smaller.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale: Stopping breastfeeding is not recommended for breast engorgement. Breastfeeding frequently and effectively is one of the best ways to relieve engorgement and prevent further complications.
Choice B rationale: Feeding the baby every 2 hours is a frequent feeding schedule, which can help manage breast engorgement. However, this statement does not specifically address the use of cold compresses for relief.
Choice C rationale: Wearing a supportive bra during the daytime can help provide comfort and support for engorged breasts. However, this statement does not specifically address the use of cold compresses for relief.
Choice D rationale: Applying cold compresses to the breasts before each feeding can help reduce breast engorgement and discomfort. Cold compresses can help constrict the blood vessels and reduce swelling, making it easier for the baby to latch on and feed effectively.
Correct Answer is A
Explanation
Choice A rationale: Drying the newborn and covering the head are essential steps in the immediate care of a newborn after birth. This helps prevent heat loss and promotes thermal stability for the baby.
Choice B rationale: Stimulating the newborn to cry is not the first priority in the immediate post-birth care. Drying and keeping the baby warm are more critical at this stage.
Choice C rationale: Clearing the respiratory tract may be necessary if there are signs of respiratory distress, but it is not the first action in the routine care of a newborn immediately after delivery.
Choice D rationale: Clamping the umbilical cord is usually done after the immediate care of the newborn is addressed, and it is not the first step in the initial care following a vaginal delivery.
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