Page 827 - Saunders Comprehensive Review For NCLEX-RN

1. Provide normal newborn care.

2. Monitor for hypoglycemia.

3. Maintain newborn’s temperature.
4. Monitor for meconium aspiration.
VIII. Small for Gestational Age
A. Description: Newborn who is plotted at or below the 10th
percentile on the intrauterine growth curve
B. Assessment
1. Fetal distress
2. Decreased or elevated body temperature
3. Physical abnormalities
4. Hypoglycemia
5. Signs of polycythemia
a. Ruddy appearance
b. Cyanosis
c. Jaundice
6. Signs of infection
7. Signs of aspiration of meconium
C. Interventions

1. Maintain airway and cardiopulmonary

function.
2. Maintain body temperature.
3. Observe for signs of respiratory distress.
4. Monitor for infection and initiate measures to prevent
sepsis.
5. Monitor for hypoglycemia.
6. Initiate early feedings and monitor for signs of
aspiration.
IX. Large for Gestational Age
A. Description: Newborn who is plotted at or above the 90th
percentile on the intrauterine growth curve
B. Assessment
1. Birth trauma or injury
2. Respiratory distress
3. Hypoglycemia
C. Interventions

1. Monitor vital signs and for respiratory

distress.
2. Monitor for hypoglycemia.
3. Initiate early feedings.
4. Monitor for infection and initiate measures to prevent
sepsis.

X. Respiratory Distress Syndrome

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