NURS 247 Ch 23 Review Questions and Correct Answers

23-1 Evaluate factors that assist in identifying a newborn at risk due to variations in birth weight and gestational age. 23-2 Select contributing factors and common complications associated with dysmature infants and their management. 23-3 Compare and contrast nursing assessment findings and nursing management of a small-for-gestational-age newborn and a large-for-gestational-age newborn; a postterm and a preterm newborn. 23-4 Analyze nursing assessment and management of newborn conditions associated with variations in birthweight and gestational ages. 23-5 Outline the nurse's role in helping parents experiencing perinatal grief or loss. 23-6 Integrate knowledge of the risks associated with late preterm births into nursing interventions, discharge planning, and parent education. 23-1 Evaluate factors that assist in identifying a newborn at risk due to variations in birth weight and gestational age. Abuse and violence Exposure to occupational hazards, working long hours, or very physical labor Extreme maternal stress History of mental health disorders History of previous preterm birth Iron deficiency anemia Lack of prenatal care Maternal obesity Maternal nutrition (malnutrition or overweight) Maternal age of less than 20 or more than 35 years old Maternal disease (e.g., hypertension, diabetes, HIV) Maternal infection (e.g., urinary tract infection, chorioamnionitis) Multiple gestation Periodontal disease Placental complications (placenta previa or abruptio placentae) Smoking or exposure to passive smoke Substandard living conditions or low socioeconomic status Substance abuse Appropriate for gestational age (AGA) -newborns weight falls within the 10th- 90th percentile for that particular gestational age. This describes approximately 80% of all newborns -Infants who are AGA have lower morbidity and mortality than other groups.