NEONATAL NURSE PRACTITIONER: explain the following statements based on objective measurements:

1. Please list and define the 3 parameters used to categorize neonates as AGA, SGA, and LGA.

2. Please explain the following statements based on objective measurements:

a. A preterm neonate may still be categorized as AGA.

b. A post-term neonate may be categorized as SGA.

c. A preterm infant may be categorized as LGA.

3. Small for gestational age neonates may, or may not, be growth restricted.

a. Please explain the ways in which these concepts are and are not the same.

b. Please present a comparison of potential etiologies for an infant who is SGA but does not have evidence of IUGR versus an infant with is SGA with IUGR.

4. What is meant by the term β€œhead sparing (or asymmetric) IUGR”? How is this an important distinction for an NNP to make when categorizing a neonate in terms of growth parameters?

5. Growth parameters can have significant implications for the birth process. Please finish the following statements:

a. Infants who are SGA with evidence of IUGR are at risk during labor and delivery because __________________ .

b. LGA infants are at risk during the delivery process because ___________________________.

6. Glucose management may become an issue for both SGA and LGA neonates in the first few hours of life.

a. For SGA infants, this is due to: ___________.

b. For LGA infants, this is due to: ___________.

Please chunk out your responses as the numbering / lettering system indicates (i.e. 1, 2, and 3… a. b. ) for clarity.

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