Summary
Summary RNSG 2208 Ch.23 for Maternity and Women-s Health.
- Course
- RNSG 2208
- Institution
- San Jacinto College
This is a comprehensive and detailed summary on;Ch.23 for Maternity and Women-s Health.
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Chapter 23 Nursing Care of the Newborn with Special NeedsFactors Affecting Fetal Growth
Maternal nutrition
Genetics
Placental function
Environmental factors
Birth Weight Variations #1
Appropriate for gestational age (AGA): approximately 80% of newborns; normal
height, weight, head circumference, body mass index
Small for gestational age (SGA): weight <2,500 g (5 lb, 8 oz) at term or below the 10th
percentile
Large for gestational age (LGA): weight >90th percentile on a growth chart; weight
>4,000 g (8 lb, 13 oz) at term
Small-for-Gestational-Age (SGA) Newborns #1
Conditions affecting fetal growth
o Less 28 weeks leading to overall growth restriction (never catch up in size)
o More 28 weeks, intrauterine malnutrition (normal growth potential with optimal
postnatal nutrition)
IUGR for some SGA newborns
Fetal growth restriction (FGR) placental insufficiency
Contributing factors
, SGA Newborns: Assessment: Typical Characteristics
identify maternal history to identify risk factors: smoking, drugs, alcohol, preeclampsia, etc
Head disproportionately large compared to rest of body
Wasted appearance of extremities, loose dry skin
Reduced subcutaneous fat stores
Jittery secondary to hypoglycemia
Decreased amount of breast tissue
Scaphoid abdomen (sunken appearance)
Wide skull sutures inadequate bone growth
Poor muscle tone over buttocks and cheeks
Thin umbilical cord
SGA Newborns: Common Problems
Perinatal asphyxia
Difficulty with thermoregulation
Hypoglycemia
Polycythemia
Meconium aspiration
Hyperbilirubinemia
Birth trauma (Table 23.1 pg 843-845)
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