GMCH Chandigarh - 2019
Child Health Nursing (Pediatrics)
Easy
Select the criterion that is coupled with its indication of gestational age or birth weight.
Appeared in: GMCH Chandigarh - 2019
Explanation
- The correct option accurately pairs the term 'Appropriate for Gestational Age' (AGA) with its standard definition.
- An AGA neonate has a birth weight that falls between the 10th and 90th percentiles for their specific gestational age.
- This classification indicates that the fetal growth rate was within the normal, expected range during pregnancy.
- The other options provide incorrect percentile or weight thresholds for their respective classifications.
Why Other Options Were Wrong
- Option A: The definition provided is incorrect. A neonate is classified as Small for Gestational Age (SGA) if their weight is below the 10th percentile for their gestational age, not the 20th percentile.
- Option B: The definition provided is incorrect. A neonate is classified as Large for Gestational Age (LGA) if their weight is above the 90th percentile, not the 99th percentile.
- Option C: This statement incorrectly defines Low Birth Weight (LBW). LBW is defined as a birth weight of less than 2500 g. A birth weight of less than 1500 g is classified as Very Low Birth Weight (VLBW).
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of neonates based on birth weight and gestational age as background academic context rather than a clinical decision trigger.
- Accurate classification of newborns by weight and gestational age is crucial for anticipating and managing potential health risks.
- SGA infants are at higher risk for hypoglycemia, hypothermia, and polycythemia. Nurses must monitor blood glucose levels, ensure thermal stability, and observe for signs of respiratory distress.
- LGA infants, often born to diabetic mothers, are at risk for birth injuries (like shoulder dystocia), hypoglycemia, and respiratory distress syndrome. Close monitoring of blood sugar and respiratory status is essential.
How to Approach the Question
- First, understand that the question asks you to identify the one option that correctly pairs a neonatal classification with its definition.
- Read each option carefully, focusing on the term (e.g., SGA, LGA) and the specific value (percentile or weight) given in its definition.
- Recall the standard medical definitions for each classification: SGA (<10th percentile), AGA (10th-90th percentile), LGA (>90th percentile), and LBW (<2500g).
- Systematically compare the definition in each option to the standard definition you recalled.
- Eliminate the options that present incorrect values. For example, SGA is not <20th percentile, and LGA is not >99th percentile.
- Identify the single option where the term and its definition are a perfect match, which in this case is the definition for AGA.
Concept Tested & Keywords
- Concept Tested: Classification of neonates based on birth weight and gestational age.
- Stem keywords: gestational age, birth weight, neonate's weight, criterion
- Lead-in keywords: Select
- Negative lead-in flag: false
Question ID
QKk4phR1liDdn17QRU_LTm
Reference Book
E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 1056-1058
E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 30-32
E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 1 (pp 36-238 of 713) p. 177-179
Practise the full GMCH Chandigarh - 2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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