Practice Question
The nurse is caring for a newborn who is small for gestational age (SGA). When educating the parents about potential complications, which statement should the nurse include
Answer Choices:
Correct Answer:
"It is important to feed the newborn frequently
Rationale:
🟦 Newborns who are small for gestational age (SGA) have limited glycogen and fat stores, placing them at high risk for hypoglycemia.
🟦 Frequent feeding helps maintain stable blood glucose levels and supports adequate energy supply.
🟦 Early and regular feeds reduce the risk of jitteriness, lethargy, seizures, and poor neurologic outcomes.
🟦 Both breast milk and formula can be used, with feeding schedules individualized to the newborn’s tolerance and glucose monitoring results.
🟦 Teaching parents the importance of frequent feeding promotes safe transition to home care and prevents complications.
“The baby will need to have a special car seat prior to discharge.”
🟦 Special car seats are based on weight or positioning needs, not SGA status alone.
🟦 This statement does not address a common physiologic complication of SGA.
“If the baby is breastfed, they will need to be supplemented with formula.”
🟦 Breastfeeding alone may be sufficient if glucose levels remain stable.
🟦 Supplementation is determined by clinical assessment, not SGA status alone.
“The newborn should remain swaddled while under the warmer.”
🟦 Thermoregulation is important, but this instruction does not address a primary metabolic risk.
🟦 Feeding frequency is a higher-priority teaching point.
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This question is from Exam 5 - Module 9 which contains 72 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🤱🏼Maternity & Newborn Care
- Answer Choices: 4