You are a nurse on the antepartum unit with a client whose pregnancy is at 23 weeks' gestation. The physician has expressed concern to the client that the fetus is "small for gestational age."
a. What could be contributing factors for intrauterine growth retardation (IUGR)?
b. The client's husband becomes upset with the client and is blaming her for the infant's size. You note a diagnosis of diabetes on the client's chart. What are the causes and manifestations of neonatal hypoglycemia?
- A discussion of chromosomal factors and congenital infections can contribute to intrauterine growth retardation (IUGR)
- Maternal factors such as tobacco use, recreational drugs, and maternal illness
- Exposure to environmental toxins
b.
- All infants should be screened for hypoglycemia. Blood glucose can be easily measured by heel stick using a glucometer. Signs and symptoms of neonatal hypoglycemia include cyanosis, apnea, hypothermia, hypotonia, poor feeding, lethargy, and seizures. Newborns who are at particular risk for neonatal hypoglycemia are infants of diabetic mothers (IDMs) and premature and SGA newborns.
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