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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Maternal gestational diabetes can lead to the newborn being larger than average (macrosomia) due to the impact of high blood sugar levels in the mother affecting fetal growth.
Choice B rationale:
Newborn hypoglycemia isa common complication of maternal gestational diabetes due to the elevated insulin levels in the newborn at birth
Choice C rationale:
Oligohydramnios refers to decreased amniotic fluid, which can be a complication of various factors, but it is not directly related to maternal gestational diabetes.
Choice D rationale:
Placenta previa is a condition where the placenta partially or completely covers the cervix, which is unrelated to maternal gestational diabetes.
Correct Answer is C
Explanation
Choice A rationale: While gestational hypertension can have various implications for the mother and baby, it is not directly associated with an increased risk of postpartum hemorrhage.
Choice B rationale: The birth of a small-for-gestational-age newborn may have certain implications, but it is not directly associated with an increased risk of postpartum hemorrhage.
Choice C rationale: Precipitous birth, which refers to an extremely rapid labor and delivery lasting less than 3 hours, is a risk factor for postpartum hemorrhage. Rapid delivery can lead to incomplete uterine contractions and inadequate uterine tone, increasing the risk of excessive bleeding after birth.
Choice D rationale: A two-vessel umbilical cord, also known as a single umbilical artery, may be associated with certain fetal anomalies but is not directly related to an increased risk of postpartum hemorrhage.
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