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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This is a cognitive process in which children believe that their thoughts or wishes can cause events to happen. It is common in preschoolers who have not yet developed logical reasoning skills.

B. Transduction involves making connections between events that occur sequentially but may not have a causal relationship. The girl's statement doesn't demonstrate this.
C. Centration refers to focusing on only one aspect of a situation while ignoring others. The girl's statement involves attributing emotions to the sky rather than focusing solely on her own pain.
D. Animism is the attribution of life and feelings to inanimate objects.

A. asymmetrical movement B. bruising over area C. edema present D. facial grimacing with movement E. positive Babinski reflex

Correct Answer is ["A","B","C","D"]

Explanation

A. Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B. Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C. Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D. Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E. A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.

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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?

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The nurse is caring for a 5-year-old girl posttonsillectomy. The girl looks out the window and tells the nurse that it is raining and says. The sky is crying because it is sad that my throat hurts." The nurse understands that the girl is demonstrating which mental process?

Correct Answer is A

Explanation

A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

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