NursGuru

    Nur404w Mcphs Obstetrics Maternity Proctored Exam( Examplify)

    Tutor Mode

    0m 00s
    Question: 1 of 54Nur404w Mcphs Obstetrics Maternity Proctored Exam( Examplify)
    What would the nurse document after assessing a neonate born at 38 weeks' gestation who weighs 8 lb 13.1 oz (4,017 g)?
    Explanation
    Choice A rationale Appropriate for gestational age (AGA) refers to neonates whose weight falls between the 10th and 90th percentiles for their gestational age. The neonate is term (38 weeks), but weighs 4,017 grams, which is >4,000 grams and classified as macrosomic, thus >90th percentile and not AGA. The classification of AGA is based on a statistical growth curve and is distinct from being macrosomic. Choice B rationale Large for gestational age (LGA) describes neonates whose weight is above the 90th percentile for their gestational age, which includes those with macrosomia (birth weight >4,000 g). This neonate weighs 4,017 g, placing them in the LGA category. Term is defined as a birth occurring between 37 weeks 0 days and 41 weeks 6 days gestation, making 38 weeks a term birth. Choice C rationale Large for gestational age (LGA) is correct for this 4,017 g neonate, as their weight exceeds the 90th percentile for 38 weeks' gestation. However, preterm refers to births occurring before 37 weeks 0 days gestation. Since this neonate was born at 38 weeks' gestation, the "preterm" classification is incorrect because 38 weeks is within the term range. Choice D rationale Appropriate for gestational age (AGA) is incorrect because this neonate's weight of 4,017 g is greater than the 90th percentile for a 38-week gestation, classifying them as large for gestational age (LGA). Term is correct as the neonate was born at 38 weeks' gestation, which is within the 37 weeks 0 days to 41 weeks 6 days range, making the overall classification inaccurate.
    Submit to Reveal Answer