NCLEX CRUSADE ACADEMY TEST- 15 SMALL-LARGE FOR GESTATIONAL AGE

1. Small for Gestational Age (SGA) is defined as weight below the: 5th percentile. 10th percentile. 50th percentile. 90th percentile.

2. Large for Gestational Age (LGA) is defined as weight above the: 75th percentile. 80th percentile. 90th percentile. 95th percentile.

3. An infant can be term by gestational age but SGA by weight. False. True. Only in twins. Only if preterm.

4. Low Birth Weight (LBW) is defined as: <1,000g. 1,0001,500g. 1,5002,500g. >2,500g.

5. Extremely Low Birth Weight (ELBW) is defined as: <1,500g. <1,000g. 1,0001,500g. 1,5002,000g.

6. A 'ruddy' complexion in an SGA newborn suggests: Jaundice. Polycythemia. Hypoglycemia. Dehydration.

7. Loose skin folds and a 'starved' appearance suggest: LGA. SGA. Term AGA. Macrosomia.

8. SGA infants are at increased risk for hypoglycemia because of: Excess glycogen stores. Limited glycogen stores. Hyperinsulinemia only. Overfeeding.

9. Temperature instability in SGA infants occurs due to: Excess brown fat. Thick skin. Lack of insulating fat. Hyperthyroidism.

10. A primary red-flag complication for SGA infants is: Shoulder dystocia. Meconium aspiration. Hyperglycemia. Fracture.

11. The first metabolic priority for SGA infants is: Bathing. Early feeding. Delayed feeding. Strict isolation.

12. Monitoring glucose in SGA infants should be: Occasional. Strict and frequent. Not required. Only if symptomatic.

13. LGA infants are defined as: <10th percentile. 10th90th percentile. >90th percentile. <5th percentile.

14. A key misconception about LGA infants is that: They are fragile. Size equals strength. They need glucose monitoring. They are high risk.

15. The most expected complication for LGA infants is: Polycythemia. Hypoglycemia. Meconium aspiration. Apnea.

16. Hypoglycemia in LGA infants is primarily caused by: Limited glycogen. Immature pancreas. Continued high insulin after maternal glucose cut-off. Infection.

17. Birth trauma in LGA infants commonly involves: Femur fracture. Skull fracture. Clavicle fracture. Rib fracture.

18. Brachial plexus injury is associated with: SGA infants. LGA infants. Preterm infants only. Postterm only.

19. Both SGA and LGA infants share risk for: Polycythemia. Hypoglycemia. Shoulder dystocia. Congenital anomalies.

20. Both SGA and LGA infants require: Delayed feeding. Early feeding. No glucose monitoring. Isolation only.

21. Respiratory distress may occur in: SGA only. LGA only. Both SGA and LGA. Neither.

22. In an SGA infant with respiratory distress, priority is: Bonding support. Airway and breathing. Bathing. Eye care.

23. An LGA infant with jitteriness should be assessed first for: Sepsis. Hypoglycemia. Trauma. Meconium.

24. After stabilization of glucose and respiratory issues, the infant transitions to: NICU permanently. Isolation. Routine newborn care. Immediate discharge.

25. Universal interventions for both SGA and LGA include all EXCEPT: Early feeding. Infection prevention. Continuous vital monitoring. Rectal temperature for hypoglycemia.