The nurse is caring for an infant born after 37 weeks' gestation who 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 intrauterine growth restriction.
2. Term small for gestational age, symmetrical intrauterine growth restriction.
3. Preterm small for gestational age, asymmetrical intrauterine growth restriction.
4. Preterm appropriate for gestational age, asymmetrical intrauterine growth restriction.
3. Preterm small for gestational age, asymmetrical intrauterine growth restriction.
Rationale:
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 intrauterine growth restriction. Symmetrical intrauterine growth restriction would have head circumference below the 10th percentile.
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