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 A

Explanation

A. Encouraging the client to move to the left lateral position helps to promote uterine
contractions and reposition the uterus to its midline position, which can help to alleviate uterine atony.
B. Assisting the client to the bathroom to void may be appropriate to relieve bladder distention, but it does not directly address the issue of uterine atony.
C. Asking the client to rate her pain is not relevant to the assessment findings of a slightly boggy and displaced fundus.
D. Encouraging the client to perform Kegel exercises is not indicated for the management of uterine atony.

A. In 3 to 5 days B. Within 2 days C. In 6 to 8 days D. In about 10 days

Correct Answer is A

Explanation

A. Breast milk typically "comes in" or becomes more abundant between 3 to 5 days after birth as colostrum transitions to mature milk.
B. Within 2 days is too soon for most women to experience their milk "coming in."

C. 6 to 8 days is later than the typical timeframe for milk production to increase significantly.

D. About 10 days is longer than the average time for breast milk to "come in" for most postpartum women.

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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

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Correct Answer is A

Explanation

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Correct Answer is A

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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?