Large for Gestational Age

Large for Gestational Age - Large for Gestational Age...

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Large for Gestational Age Definition: Ø An infant is LGA (also termed macrosomia) if the birth weight is above the 90th percentile on an intrauterine growth chart for that gestational age. Such a baby appears deceptively healthy at birth because of the weight, but a gestational age examination will reveal immature development. It is important that LGA infants be identified immediately so that they can be given care appropriate to their gestational age rather than being treated as term newborns. Risk Factor/ Causes Ø Women with diabetes mellitus Ø Women who are obese Ø Multiparous women Ø Beckwith Syndrome ( a rare condition characterized by overgrowth) Ø Congenital anomalies such as omphalocele Nursing Assessment 1. Assess for the following: a) Appearance LGA infants may show immature reflexes and low scores on gestational age examinations in relation to their size. They may have extensive bruising or a birth injury such as broken clavicle or Erb- Duchenne paralysis to the cervical nerves if they were born vaginally. b) Cardiovascular Dysfunction
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Large for Gestational Age - Large for Gestational Age...

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