A client has delivered a small-for-gestational-age (SGA) infant. What long-term effect should the nurse recognize that this infant is at risk for experiencing?
1. Permanent disfiguration
2. Paralysis below the hips
3. Poor fine motor coordination
4. Thin and underweight as a child to overweight or obese as an adolescent
3
Explanation:
1. Although it may occur, disfiguration is not commonly associated with SGA infants. Instead, disfiguration is more likely to remain in infants with congenital anomalies such as cleft lip/cleft palate, even after corrective surgery.
2. Many infants with myelomeningocele will suffer life-long paralysis below the site of the cyst. Paralysis is not generally associated with SGA infants.
3. SGA infants are likely to develop cognitive disabilities such as poor fine motor coordination, hyperactivity, learning disabilities, and hearing loss.
4. This long-term effect is often seen in children with fetal alcohol syndrome, not SGA.
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