Small-for-gestational-age infants often have complications at birth, but they may also experience long-term complications. The long-term effect that is most likely to occur in SGA infants is:
1. Change from thin and underweight as a child to overweight or obese as adolescents
2. Poor fine motor coordination
3. Paralysis below the hips
4. Permanent disfiguration
Correct Answer:
Rationale 1: This long-term effect is often seen in children with fetal alcohol syndrome, not SGA.
Rationale 2: SGA infants are likely to develop cognitive disabilities such as poor fine motor coordination, hyperactivity, learning disabilities, and hearing loss.
Rationale 3: Many infants with myelomeningocele will suffer life-long paralysis below the site of the cyst. Paralysis is not generally associated with SGA infants.
Rationale 4: Although it may occur, disfiguration is not commonly associated with SGA infants. Instead, disfiguration is more likely to remain in infants with congenital anomalies such as cleft lip/cleft palate, even after corrective surgery.
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