The nurse is caring for an infant born at 37 weeks that weighs 1,750 g (3 pounds, 10 ounces). The head circumference and length are at the 25th percentile. What statement would the nurse expect to find in the chart?
1. Preterm appropriate for gestational age, symmetrical IUGR
2. Term small for gestational age, symmetrical IUGR
3. Preterm small for gestational age, asymmetrical IUGR
4. Preterm appropriate for gestational age, asymmetrical IUGR
3
Rationale:
1. The infant is preterm at 37 weeks. Because the weight is below the 10th percentile, the infant is not appropriate for gestational age, but is considered small for gestational age. Head circumference and length between the 10th and 90th percentiles indicate asymmetrical IUGR. Symmetrical IUGR would have head circumference below the 10th percentile.
2. The infant is preterm at 37 weeks. Because the weight is below the 10th percentile, the infant is small for gestational age. Head circumference and length between the 10th and 90th percentiles indicate asymmetrical IUGR. Symmetrical IUGR would have head circumference below the 10th percentile.
3. The infant is preterm at 37 weeks. Because the weight is below the 10th percentile, the infant is small for gestational age. Head circumference and length between the 10th and 90th percentiles indicate asymmetrical IUGR.
4. The infant is preterm at 37 weeks. Because the weight is below the 10th percentile, the infant is not appropriate for gestational age, he is considered small for gestational age. Head circumference and length between the 10th and 90th percentiles indicate asymmetrical IUGR.
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