The nurse is caring for pregnant patients. Which of these clients should the nurse anticipate is most likely to have a newborn at risk for mortality or morbidity?
1. 37-year-old G8 P2323, works in a chemical factory
2. 23-year-old primip, low socioeconomic status, unmarried
3. 16-year-old primip, began prenatal care at 30 weeks
4. 28-year-old G2 P1001, history of gestational diabetes
Small-for-gestational-age infants often have complications at birth, but they may also experience long-term complications. The long-term effect that is most likely to occur in SGA infants is:
1. Change from thin and underweight as a child to overweight or obese as adolescents
2. Poor fine motor coordination
3. Paralysis below the hips
4. Permanent disfiguration
A 38-week newborn is found to be small for gestational age. Which of the following nursing interventions should be included in the care of this newborn?
1. Monitor for feeding difficulties.
2. Assess for facial paralysis.
3. Monitor for signs of hyperglycemia.
4. Maintain a warm environment.
A 7 pound, 14 ounce girl was born to an insulin-dependent type 2 diabetic mother two hours ago. The infant’s blood sugar is 45mg/dl. The best nursing action is:
1. Recheck the blood sugar in four hours.
2. Begin an IV of 10% dextrose.
3. Feed the baby one ounce of formula.
4. Document the findings in the chart.
An infant was born at 31-weeks’ gestation and weighed 1430 g. What is the correct initial feeding regimen for this infant?
1. 10 mg/kg/day of premature formula 24 kcal/oz.
2. 20 mg/kg/day of premature formula 24 kcal/oz.
3. 40 mg/kg/day of postdischarge formula 22 kcal/oz.
4. 50 mg/kg/day of term formula 20 kcal/oz.
