The nurse prepares to assess a newborn who is considered to be large-for-gestational-age (LGA). Which characteristic would the nurse correlate with this gestational age variation?
birthweight of 7 lb, 14 oz (3,572 g)
strong, brisk motor skills
difficulty in arousing to a quiet alert state
wasted appearance of extremities
The Correct Answer is C
A. A birthweight above the 90th percentile for gestational age is characteristic of large-for-gestational-age newborns. The above birth weight is within the normal ranges.
B. Strong, brisk motor skills are not necessarily indicative of being large-for- gestational-age.
C. Large-for-gestational-age newborns. They may have difficulty in arousing to a quiet alert state due to hypoglycemia, hypocalcemia, or polycythemia.
D. A wasted appearance of extremities is more indicative of intrauterine growth restriction (IUGR) rather than being large-for-gestational-age. LGA newborns typically have plump and rosy appearance.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A birthweight above the 90th percentile for gestational age is characteristic of large-for-gestational-age newborns. The above birth weight is within the normal ranges.
B. Strong, brisk motor skills are not necessarily indicative of being large-for- gestational-age.
C. Large-for-gestational-age newborns. They may have difficulty in arousing to a quiet alert state due to hypoglycemia, hypocalcemia, or polycythemia.
D. A wasted appearance of extremities is more indicative of intrauterine growth restriction (IUGR) rather than being large-for-gestational-age. LGA newborns typically have plump and rosy appearance.

Correct Answer is ["B","C","D","E"]
Explanation
A. Hyperthermia is not typically associated with an increased risk of necrotizing enterocolitis.
B. Low Apgar scores indicate that the baby had difficulty adapting to life outside the womb and may have suffered from hypoxia or acidosis.
C. Preterm birth is a significant risk factor for necrotizing enterocolitis.
D. Respiratory distress syndrome is associated with prematurity and is a risk factor for necrotizing enterocolitis.
E. Exchange transfusion, a procedure often performed in neonates with severe jaundice or anemia, is associated with an increased risk of necrotizing enterocolitis.
F. Hyperglycemia is not typically associated with an increased risk of necrotizing enterocolitis.

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