SGA

Question 1

What is considered a SGA infant?

Answer 1

birth weight at or below the 10th percentile

Question 2

What are the maternal factors contributing to SGA?

Answer 2

1. inadequate nutrition
2. age extremes
3. multiple pregnancy
4. grand multiparity

Question 3

What are the maternal diseases contributing to SGA?

Answer 3

1. smoking
2. substance abuse
3. heart disease
4. sickle cell anemia
5. PIH
6. diabetes mellitus
7. anemia
8. nephritis
9. severe malnutrition

Question 4

What are the assessment factors of a SGA infant?

Answer 4

1. fundal height becomes progressively less than expected
2. Sonogram to detect DECREASED SIZE
3. Biophysical profile including nonstress test, placental grading, amniotic fluid amount
4. Ultrasound to determine PLACENTAL FUNCTION

Question 5

What is the condition where the entire body’s growth is restricted?

Answer 5

Symmetric growth restriction

Question 6

What is the condition where only some parts of the body have restricted growth and starts during the 2nd half of pregnancy?

Answer 6

Asymmetrical growth restriction

Question 7

What are the s/sx of a SGA infant?

Answer 7

1. old man appearance
2. Loose and dry skin
3. Poor skin turgor
4. Meconium staining
5. Head appears larger
6. Decreased muscle mass
7. Sparse/thin hair
8. Abdomen may be sunken
9. Cord appears dry and may be stained yellow
10. irritable, excessive crying
11. hyper alert, active, hungry