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3
The damaged placenta is unable to supply adequate nutrition to the fetus, and the infant will be born small for gestational age as a result.
The nurse attends the delivery of a full-term infant who weighs 5 pounds, 4 ounces. When the placenta is delivered, the physician describes several areas of necrosis. The nurse anticipates finding which of the following when assessing the newborn?
1. Prematurity
2. Large for gestational age
3. Small for gestational age
4. Post-term infant
The nurse attends the delivery of a full-term infant who weighs 5 pounds, 4 ounces. When the placenta is delivered, the physician describes several areas of necrosis. The nurse anticipates finding which of the following when assessing the newborn?
1. Prematurity
2. Large for gestational age
3. Small for gestational age
4. Post-term infant
3
The post-term infant often will have dry skin that feels like parchment paper, and might be larger in size.
The nurse assesses the newborn in the high-risk nursery and finds dry, peeling skin with a parchment-like feel. The nurse anticipates finding that the newborn is:
1. Preterm.
2. Large for gestational age.
3. Post-term.
4. Small for gestational age.
4
Yellow discoloration to the skin indicates jaundice, and should be reported, although it is anticipated in most preterm infants due to their immature liver function. The preterm infant's body is normally covered in fine hair called lanugo with wrinkled skin and little cartilage, allowing the ear to be easily folded or creased.
The nurse assesses the preterm infant and notifies the primary RN upon finding what abnormal feature?
1. Body covered in a fine hair
2. Ear lobe is thin and easily creased.
3. Wrinkled skin
4. Slight yellow discoloration to skin
2
Minimal stimulation, including low levels of light and noise, are best for the growing infant; however, lights must be bright enough to allow for constant assessment.
In order to promote growth and diminish pain, the nurse establishes what type of environment for the high-risk neonate?
1. Well lit and quiet
2. Dimmed lights, quiet, with minimal stimulation
3. Dark and silent
4. Dimmed lights with monitor alarms set at maximum levels
3
Diapers are so absorbent, they make it impossible to squeeze or withdraw fluid using a syringe. The best means of measuring output is to weigh diapers, with every mg equaling 1 mL.

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