A nurse is providing teaching to the mother of a newborn born small for gestational age.
Which of the following should the nurse include as a possible cause of this condition?

Preterm delivery

Fetal hyperinsulinemia

Perinatal asphyxia

Placental insufficiency

Answer and Explanation

The Correct Answer is D

A.   Preterm delivery may result in a newborn being small for gestational age, but it is not the primary cause of this condition.
B.   Fetal hyperinsulinemia may contribute to macrosomia (large for gestational age) rather than small for gestational age.
C.   Perinatal asphyxia may lead to intrauterine growth restriction but is not a primary cause of being small for gestational age.
D.   Placental insufficiency is a common cause of intrauterine growth restriction and results in inadequate nutrient and oxygen delivery to the fetus, leading to a newborn being small for gestational age.

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Correct Answer is B

Explanation

A. Applying ice packs to the breasts after feeding can help reduce swelling and discomfort associated with breast engorgement.
B. Applying hot packs to the breasts during feeding can increase blood flow and exacerbate engorgement. Heat can worsen inflammation and discomfort in the breasts.

C. Crushed cabbage leaves can be applied to the breasts between feedings to help reduce swelling and discomfort associated with engorgement.
D. Breastfeeding every 2 hours helps to ensure frequent emptying of the breasts, which can help alleviate engorgement.

A. "I'll feed my baby every 2 hours." B. "I'll apply cold compresses 20 minutes before each feeding." C. "I'll try drinking an herbal tea to reduce the engorgement." D. "I'll let my baby drain one breast at each feeding."

Correct Answer is A

Explanation

Feeding the baby every 2 hours helps to ensure frequent emptying of the breasts, which can help alleviate engorgement by reducing milk stasis and promoting milk production regulation.

Applying cold compresses before feeding may temporarily reduce discomfort but does not address the underlying cause of engorgement or promote milk removal.

Drinking herbal tea is not proven to effectively reduce breast engorgement, and it is important for the client to focus on frequent breastfeeding or pumping to alleviate engorgement.

Allowing the baby to drain one breast at each feeding may lead to uneven milk production and exacerbate engorgement. It is important for the client to offer both breasts at each feeding to ensure adequate milk removal from both breasts.

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A nurse is providing teaching to the mother of a newborn born small for gestational age. Which of the following should the nurse include as a possible cause of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is A

Explanation

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A nurse is providing teaching to the mother of a newborn born small for gestational age.
Which of the following should the nurse include as a possible cause of this condition?