A small-for-gestational-age (SGA) newborn is admitted to the NICU. The nurse notes that the baby's head circumference is in the 68th percentile for gestational age, but the baby's weight is under the 10th percentile
The baby also has a scaphoid abdomen and long fingernails. How does the nurse classify this baby in the handoff report?
A.
Asymmetrical intrauterine growth restriction
B.
Cold-stressed infant
C.
Intrauterine growth retardation
D.
Small for gestational age
ANS: A
An SGA newborn has a weight under the 10th percentile for gestational age. This results from intrauterine growth restriction (IUGR). A baby with symmetrical IUGR has low weight plus a head circumference that falls below the 10th percentile. Asymmetrical IUGR results in weight under the 10th percentile and a head of an appropriate size. The terminology "intrauterine growth retardation" is no longer used. This baby is not cold stressed.
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