A nurse is caring for a newborn who is small for gestational age (SGA). Which of the following findings should the nurse expect?

The correct answer is Choice B, the nipple line.

Choice A rationale: The axillae, or underarms, are not used to measure chest circumference in a newborn. This area does not provide an accurate or consistent measurement of chest size due to the positioning and movement of the baby’s arms.

Choice B rationale: The nipple line is the correct anatomical landmark to use when measuring chest circumference in a newborn. This line is typically used because it provides a consistent and accurate measurement. It is located at the level of the nipples, which is approximately at the mid-chest level. This location allows for a measurement that is representative of the chest size, as it is at the broadest part of the chest.

Choice C rationale: The lower ribcage border is not the correct landmark for measuring chest circumference in a newborn. This area is too low and would not provide an accurate representation of the chest size. The measurement taken at this location would be smaller than the actual chest size, as it is below the broadest part of the chest.

Choice D rationale: The sternal notch is not an appropriate landmark for measuring chest circumference in a newborn. The sternal notch is located at the top of the sternum, near the base of the neck. A measurement taken at this location would not accurately represent the size of the chest, as it is above the broadest part of the chest.

Choice A rationale: Stopping breastfeeding is not an appropriate response to breast engorgement. Continuing to breastfeed frequently and effectively can help relieve the engorgement and ensure adequate milk supply.
Choice B rationale: While frequent breastfeeding is beneficial for both the baby and mother, this statement does not directly address breast engorgement.
Choice C rationale: Wearing a supportive bra during the daytime can actually help reduce breast engorgement and discomfort by providing gentle pressure and support to the breasts.
Choice D rationale: Breast engorgement is a common issue for breastfeeding mothers, especially during the early days after delivery. Applying cold compresses to the breasts before each feeding can help reduce swelling and discomfort associated with engorgement, making it easier for the baby to latch onto the breast.