SGA
LGA
Preterm
Post mature
Vital Signs and Assessment
100

Growth (weight) less than the _____% 

10

100

Growth (weight) greater than the _____%

90

100

True or False: Skin is red and transluscent with blood vessels present

True

100

Postmaturity refers to a baby born after ______ weeks

42

100

What is a normal respiratory rate for a newborn?

30-60 breathes per minute

200

SGA characteristics: name 2

Decreased breast tissue

Sunken (scaphoid) abdomen

Head larger than body

Wasted appearance

Reduced fat stores

Wide sutures and wide eyed appearance

200

Name 2 characteristics of a LGA neonate

Large body- plump face

Body size is proportionate

Poor motor skills

Difficulty in regulating behavioral state (drowsy/quite alert/deep sleep/REM sleep)

200

The baby's head appears small or large? 

Large

200

Name 2 characteristics of a Postmature baby

Wrinkled, patchy, peeling skin

Long, thin body (wasted)

Open eyed, old man appearance

nails are long

meconium staining, oligohydramnios likely

200

When a newborn is delivered what is done to start breathing in the infant?

Bulb suction

Stimulate/dry

Reposition to see if airway is blocked 

PPV

Deep suction

Oximeter and Oxygen

300

What is the most likely offender that causes SGA/IUGR?

Placenta

300

What would an LGA baby be at risk for during delivery?

Shoulder dystocia - broken clavical, Erb's palsy


300

the baby has _______ subcutaneous fat

Less than a term newborn

300

What are the complications a post mature baby may have related to?

Placenta (whether or not it is still working well or is old and not working well)

300

What is a normal temperature for a newborn?

97.7- 99.5 F

400

What is a complication that we would be looking for in an SGA/IUGR baby? 

Respiratory distress

Hypoglycemia

Hypothermia

400

What is the most likely complication in our LGA neonate? 

Hypoglycemia

400

Most critical complication of the preterm neonate is?

Respiratory Distress

400

Why do we care about meconium?

Aspiration causing chemical pneumonia

400

Name a sign of hypoglycemia in a newborn?

Jitteriness

Lethargy

Restlessness/high pitch cry

Poor feeding

Seizure

500

What is the inital nursing intervention to increase a SGA baby's temp? 

Skin to skin contact

500

What would be the intervention to increase blood sugar in a hypoglycemic baby?

Feed

500

The factor that plays into all preterm neonates complications?  

Premature organ systems

500

True or False: Early frequent feedings can help prevent hypoglycemia, respiratory distress, and hypothermia.

True

500

Name all 4 signs of respiratory distress

Retractions

Grunting

Nasal Flaring 

Cyanosis

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