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