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 D

Explanation

A. Asphyxia would typically manifest differently on a chest X-ray, possibly showing signs of lung collapse or consolidation.
B. Persistent pulmonary hypertension may present with other radiographic findings, such as enlargement of the heart or signs of pulmonary edema.
C. Transient tachypnea of the newborn might not produce a distinct ground glass pattern on chest X-ray.
D. Ground glass appearance on a chest X-ray is commonly associated with respiratory distress syndrome, a condition characterized by inadequate surfactant production in premature infants.

A. "The average height for a 5-year-old is 43 in tall (118.5 cm), so your son is within the normal range for height." B. "I am sure his height is a concern, but if you start choosing nutrient-dense foods, he will likely catch up to normal in height." C. "Are most of the adults in your family short? It may be hereditary that your child will be shorter than average." D. "Some children are short for their age during the preschool years but usually catch up during early childhood."

Correct Answer is D

Explanation

A. This response may cause unnecessary concern as it implies the child is below average height, which is not necessarily true.
B. While nutrition is important for growth, it's not appropriate to assume the child's height is solely due to nutritional factors without further assessment.
C. While heredity may play a role in height, assuming this without further evaluation may overlook other potential causes of short stature.
D. This response acknowledges the parents' concern while reassuring them that short stature during the preschool years is common and children often catch up in height during early childhood.

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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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Naxlex Comprehensive Predictor Exams

While reviewing a newborn's medical record, the nurse notes that the chest X-ray shows a ground glass pattern. The nurse interprets this as indicative of.

Correct Answer is D

Explanation

The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

Correct Answer is D

Explanation

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