NUR 1211C Chapter Notes - Chapter Test 6: Intrauterine Growth Restriction, Low Birth Weight, Gestational Age
12 Feb 2020
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Birth-weight variations: appropriate for gestational age (aga) describes a newborn with a normal length, weight, head. Head disproportionately large compared with rest of body: wasted appearance of extremities, wide skull sutures secondary to inadequate bone growth. It is defined as a venous hematocrit above 65% and hemoglobin of more than 20 g. Observe for clinical signs of polycythemia (respiratory distress, cyanosis, jitteriness, jaundice, ruddy skin, lethargy: large-for-gestational-age newborns, nursing assessment, nursing management. Gestational age variations: gestational age is typically measured in weeks: a newborn born before completion of 37 weeks is classified as a preterm newborn and one born after completion of 42 weeks is classified as a post-term newborn. An infant born from the first day of the 38th week through 42 weeks is classified as a term newborn. Infections/inflammation: maternal or fetal stress, bleeding, stretching, effects of prematurity on body systems, respiratory system. Inability to clear fluid from passages, leading to transient tachypnea.
