ESSENTIALS OF MATERNITY NEWBORN AND WOMEN’S HEALTH
NURSING 5TH EDITION CHAPTER 23 |COMPLETE GUIDE RATED A+
when a women gives birth to a newborn with a problems involving immaturity or birth weight,
especially one who is considered high risk she may go through - (correct Answer) - a grieving process in
which she grieves the loss of the healthy full term newborn she had experienced
being able to anticipate the birth of a newborn at risk allows the birth to take place at a helalthcare
facility equipped with the resources to meet the mother's and newborn's needs - (correct Answer) - this
is important in reducing mortality and morbidity
maternal nutrition
genetics
placental function
environment - (correct Answer) - fetal growth is influenced by
characterizes approximately 80% of newborns and describes a newborn w/ a normal length, weight,
head circumference and body mass index
at the lowest risk for any problems and lower morbidiy and mortality rates than other groups - (correct
Answer) - appropriate for gestational age (AGA)
newborns who weigh less than 2500g (5 lb 8 oz) at term due to less growth in utero than expected
at or below 10th percentile - (correct Answer) - small for gestational age (SGA)
newborns whose birth weight is above the 90th percentile. weigh more than 4,000g (8lb 13oz) due to
accelerated growth for length of gestation - (correct Answer) - large for gestational age (LGA)
less than 1500g - (correct Answer) - very low birth weight (3lb 5oz)
less than 1000g - (correct Answer) - extremely low birth weight (2lb 3 oz)
rate of growth does not meet the expected growth pattern - (correct Answer) - IUGR
an insult that occurs early at less than 28 weeks in gestation. fetus w/ equally poor growth rates of the
head abdomen and long bones
have poorest long term prognosis. will never be able to catch up to normal size - (correct Answer) -
symmetrical IUGR
, insult occurs later than 28 weeks. head and long bones are spared compared to abdomen and internal
organs
brain and heart are larger but overall weight and organ sizes reduced.
optimal nutrition typically restores growth - (correct Answer) - asymmetrical IUGR
there is a strong association between - (correct Answer) - still birth and fetal growth restriction
increase neonatal morbidity and mortality
short stature
cardiovascular disease
end stage renal disease in adulthood
decreased levels of intelligence and cognition - (correct Answer) - complications of SGA
review maternal risk factors ( smoking, drug abuse, chronic maternal illness, hypertension, multiple
gestation, genetic disorder)
head large compared to body
wasted appearance of extremities
reduced subq fat stores
decreased amount of breast tissue
scaphoid abdomen (sunken appearance)
wide skull structures secondary to inadequate bone growth
poor muscle tone over buttocks and cheeks
loose dry skin that appears oversized
thin umbilical cord
assess for g=congenital malformations, neurologic insults, indications of infection
many face problems after birth because of the decrease in placental function during gestation - (correct
Answer) - nursing assessment for SGA
obtain weight, length, head circumference
perform serial blood glucose measurements
monitor vital signs and be alert for changes in respiratory status
NURSING 5TH EDITION CHAPTER 23 |COMPLETE GUIDE RATED A+
when a women gives birth to a newborn with a problems involving immaturity or birth weight,
especially one who is considered high risk she may go through - (correct Answer) - a grieving process in
which she grieves the loss of the healthy full term newborn she had experienced
being able to anticipate the birth of a newborn at risk allows the birth to take place at a helalthcare
facility equipped with the resources to meet the mother's and newborn's needs - (correct Answer) - this
is important in reducing mortality and morbidity
maternal nutrition
genetics
placental function
environment - (correct Answer) - fetal growth is influenced by
characterizes approximately 80% of newborns and describes a newborn w/ a normal length, weight,
head circumference and body mass index
at the lowest risk for any problems and lower morbidiy and mortality rates than other groups - (correct
Answer) - appropriate for gestational age (AGA)
newborns who weigh less than 2500g (5 lb 8 oz) at term due to less growth in utero than expected
at or below 10th percentile - (correct Answer) - small for gestational age (SGA)
newborns whose birth weight is above the 90th percentile. weigh more than 4,000g (8lb 13oz) due to
accelerated growth for length of gestation - (correct Answer) - large for gestational age (LGA)
less than 1500g - (correct Answer) - very low birth weight (3lb 5oz)
less than 1000g - (correct Answer) - extremely low birth weight (2lb 3 oz)
rate of growth does not meet the expected growth pattern - (correct Answer) - IUGR
an insult that occurs early at less than 28 weeks in gestation. fetus w/ equally poor growth rates of the
head abdomen and long bones
have poorest long term prognosis. will never be able to catch up to normal size - (correct Answer) -
symmetrical IUGR
, insult occurs later than 28 weeks. head and long bones are spared compared to abdomen and internal
organs
brain and heart are larger but overall weight and organ sizes reduced.
optimal nutrition typically restores growth - (correct Answer) - asymmetrical IUGR
there is a strong association between - (correct Answer) - still birth and fetal growth restriction
increase neonatal morbidity and mortality
short stature
cardiovascular disease
end stage renal disease in adulthood
decreased levels of intelligence and cognition - (correct Answer) - complications of SGA
review maternal risk factors ( smoking, drug abuse, chronic maternal illness, hypertension, multiple
gestation, genetic disorder)
head large compared to body
wasted appearance of extremities
reduced subq fat stores
decreased amount of breast tissue
scaphoid abdomen (sunken appearance)
wide skull structures secondary to inadequate bone growth
poor muscle tone over buttocks and cheeks
loose dry skin that appears oversized
thin umbilical cord
assess for g=congenital malformations, neurologic insults, indications of infection
many face problems after birth because of the decrease in placental function during gestation - (correct
Answer) - nursing assessment for SGA
obtain weight, length, head circumference
perform serial blood glucose measurements
monitor vital signs and be alert for changes in respiratory status
