A 38-week newborn is found to be small for gestational age. Which of the following nursing interventions should be included in the care of this newborn?
1. Monitor for feeding difficulties.
2. Assess for facial paralysis.
3. Monitor for signs of hyperglycemia.
4. Maintain a warm environment.
4
Rationale:
1. LGA newborns are more difficult to arouse to a quiet alert state, and can have feeding difficulties.
2. LGA newborns often are prone to birth trauma, such as facial paralysis, due to cephalopelvic disproportion.
3. SGA newborns are more prone to hypoglycemia.
4. Hypothermia is a common complication of the SGA newborn; therefore, the newborn's environment must remain warm, to decrease heat loss.
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