Difficulty: Medium
Average Score: 66%
Simulated
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following interventions should the nurse include in the plan of care?
Correct answer
A
Rationale
Correct Answer: A - Monitor blood glucose levels.
Rationale: Small for gestational age (SGA) newborns are at risk for hypoglycemia due to decreased glycogen stores. Monitoring blood glucose levels is crucial to detect and manage hypoglycemia promptly. This intervention ensures early intervention to prevent complications.
Incorrect Choices:
B: Monitoring intake and output is important for overall assessment but not specific to SGA newborns.
C: Monitoring weight is important for growth assessment but does not directly address the immediate risk of hypoglycemia in SGA newborns.
D: Monitoring axillary temperature is important for assessing newborn's thermoregulation but does not address the specific risk of hypoglycemia in SGA newborns.
Rationale: Small for gestational age (SGA) newborns are at risk for hypoglycemia due to decreased glycogen stores. Monitoring blood glucose levels is crucial to detect and manage hypoglycemia promptly. This intervention ensures early intervention to prevent complications.
Incorrect Choices:
B: Monitoring intake and output is important for overall assessment but not specific to SGA newborns.
C: Monitoring weight is important for growth assessment but does not directly address the immediate risk of hypoglycemia in SGA newborns.
D: Monitoring axillary temperature is important for assessing newborn's thermoregulation but does not address the specific risk of hypoglycemia in SGA newborns.