An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.

Small for gestational age

Term

Preterm

Average for gestational age

Post term

Answer and Explanation

Correct Answer : C,D

Choice A reason:

“Small for gestational age” (SGA) refers to babies who are smaller than the typical weight for their gestational age, usually below the 10th percentile. An 8-pound 15-ounce baby born at 35 weeks is not considered SGA because this weight is above the average for that gestational age

Choice B reason:

“Term” refers to babies born between 37 and 42 weeks of gestation. Since the baby in question was born at 35 weeks, they are not considered term.

Choice C reason:

“Preterm” refers to babies born before 37 weeks of gestation. A baby born at 35 weeks falls into this category and is specifically classified as a “late preterm” infant3. Late preterm infants are those born between 34 and 36 weeks of gestation. These babies may require additional medical support compared to full-term infants but generally have better outcomes than those born earlier.

Choice D reason:

“Average for gestational age” (AGA) refers to babies whose weight is within the normal range for their gestational age, typically between the 10th and 90th percentiles. An 8-pound 15-ounce baby born at 35 weeks is considered AGA because this weight is within the expected range for that gestational age.

Choice E reason:

“Post term” refers to babies born after 42 weeks of gestation. Since the baby in question was born at 35 weeks, they are not considered post term.

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Correct Answer is B

Explanation

Choice A reason:

Accidental lacerations: While accidental lacerations can occur during a cesarean delivery, they are not the most immediate concern compared to respiratory distress.

Choice B reason:

Respiratory distress: Respiratory distress is the priority assessment for a newborn following a cesarean delivery. Babies born via cesarean may have difficulty clearing lung fluid, which can lead to respiratory issues.

Choice C reason:

Hypothermia: Hypothermia is a concern for all newborns, but it is not as immediate a priority as respiratory distress.

Choice D reason:

Acrocyanosis: Acrocyanosis, or bluish discoloration of the hands and feet, is common in newborns and usually resolves on its own. It is not as critical as respiratory distress.

A. Your baby should wet 6 to 8 diapers per day. B. Your baby should have a wake cycle of 30 to 60 minutes after each feeding. C. Your baby should burp after each feeding. D. Your baby should sleep at least 6 hours between feedings.

Correct Answer is A

Explanation

Choice A Reason:

One of the most reliable indicators that a baby is getting enough breast milk is the number of wet diapers. A well-hydrated baby should wet at least 6 to 8 diapers per day. This indicates that the baby is receiving sufficient fluids and nutrients from breast milk. Consistent wet diapers are a clear sign that the baby is feeding well and getting enough milk.

Choice B Reason:

A wake cycle of 30 to 60 minutes after each feeding is not a reliable indicator of adequate breast milk intake. Babies have varying sleep and wake patterns, and these can be influenced by many factors other than feeding. While some babies may stay awake for a short period after feeding, this is not a definitive sign of adequate milk intake.

Choice C Reason:

Burping after each feeding is a common practice to help release any swallowed air, but it does not indicate whether the baby is getting enough breast milk. Burping is more related to the baby’s comfort and digestion rather than the quantity of milk consumed.

Choice D Reason:

Sleeping at least 6 hours between feedings is not typical for a newborn, especially in the first few weeks of life. Newborns usually feed every 2 to 3 hours, including during the night. Long sleep intervals can be a concern and may indicate that the baby is not feeding frequently enough, which could affect milk intake and hydration.

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An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse’s priority?

Correct Answer is B

Explanation

A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, “How will I know if my baby gets enough breast milk?” Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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