Podcast
Questions and Answers
What is a risk factor for Small for Gestational Age (SGA) infants?
What is a risk factor for Small for Gestational Age (SGA) infants?
How can intrauterine growth be accelerated besides genetic influences?
How can intrauterine growth be accelerated besides genetic influences?
Which intervention may be necessary to treat hypoglycemia in newborns?
Which intervention may be necessary to treat hypoglycemia in newborns?
What is a potential complication of Small for Gestational Age (SGA) infants?
What is a potential complication of Small for Gestational Age (SGA) infants?
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What nursing diagnosis may be applicable for SGA infants?
What nursing diagnosis may be applicable for SGA infants?
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What is a component of nursing management for Small for Gestational Age (SGA) infants?
What is a component of nursing management for Small for Gestational Age (SGA) infants?
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What is the definition of Small for Gestational Age (SGA)?
What is the definition of Small for Gestational Age (SGA)?
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Which factors are described as contributing to Intrauterine Growth Restriction (IUGR)?
Which factors are described as contributing to Intrauterine Growth Restriction (IUGR)?
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What are some common clinical manifestations of Small for Gestational Age (SGA) infants?
What are some common clinical manifestations of Small for Gestational Age (SGA) infants?
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What is a potential complication associated with Small for Gestational Age (SGA) infants?
What is a potential complication associated with Small for Gestational Age (SGA) infants?
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What should nurses do to manage Small for Gestational Age (SGA) infants?
What should nurses do to manage Small for Gestational Age (SGA) infants?
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Which of the following is a common nursing management intervention for a baby with Small for Gestational Age (SGA)?
Which of the following is a common nursing management intervention for a baby with Small for Gestational Age (SGA)?
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What is a potential complication associated with Small for Gestational Age (SGA) infants?
What is a potential complication associated with Small for Gestational Age (SGA) infants?
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Which statement is true about an infant classified as Large for Gestational Age (LGA)?
Which statement is true about an infant classified as Large for Gestational Age (LGA)?
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What should nurses monitor for in infants at risk for Small for Gestational Age (SGA)?
What should nurses monitor for in infants at risk for Small for Gestational Age (SGA)?
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What is an essential aspect of nursing management for infants with Intrauterine Growth Restriction (IUGR)?
What is an essential aspect of nursing management for infants with Intrauterine Growth Restriction (IUGR)?
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Study Notes
Nursing Management for Newborns
- Maintain airway and body temperature to prevent complications
- Monitor for signs of respiratory distress and infection to prevent sepsis
- Initiate early feedings and monitor for signs of aspiration
- Provide stimulation to promote healthy development
Large for Gestational Age (LGA)
- Defined as birth weight above the 90th percentile on an intrauterine growth chart for that gestational age
- May appear deceptively healthy at birth due to weight, but gestational age examination reveals immature development
- Risk factors include maternal diabetes mellitus, Beckwith-Weidemann syndrome, and multiparous women
- Clinical manifestations include gestational age, birth trauma, hypoglycemia, respiratory distress, caput succedaneum, and cephalohematoma
Nursing Management for LGA
- Monitor vital signs and blood glucose levels to prevent hypoglycemia
- Initiate early feeding and monitor for signs of aspiration
- Monitor for infections and initiate measures to prevent sepsis
- Provide stimulation to promote healthy development
Medical Management for LGA
- Cesarean section may be necessary
- Prevention and treatment of neonatal hypoglycemia through intravenous glucose or frequent feedings
- Respiratory support, including supplemental oxygen or ventilator, may be required to treat respiratory distress syndrome
Small for Gestational Age (SGA)
- Defined as birth weight below average for gestational age
- May be born preterm, term, or post-term
- Intrauterine growth restriction (IUGR) may occur due to maternal, environmental, placental, or fetal factors
Risk Factors for SGA
- Genetic factors, such as maternal disease or viral infections
- Placental factors, such as placental insufficiency
- Fetal factors, such as fetal distress or physical abnormalities
Clinical Manifestations of SGA
- Below average weight, length, and head circumference
- Signs of fetal distress, such as lowered or elevated body temperature
- Physical abnormalities
- Gestational age and physical maturity may be affected
Complications of SGA
- Meconium aspiration
- Excess red blood cells (polycythemia)
- Difficulty regulating body temperature
- Impaired immune system
- Low blood sugar levels (hypoglycemia)
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Description
Test your knowledge on nursing care for newborns, including maintaining airway, body temperature, monitoring for infection, and more. Practice identifying nursing diagnoses and implementing appropriate interventions.
