RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023
Child Health Nursing (Pediatrics)
Easy
When do you called child as a premature
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023
Explanation
- A birth weight of 2.5 kg (2500 grams) or less is the standard definition for Low Birth Weight (LBW) according to the World Health Organization (WHO).
- While prematurity is technically defined by gestational age (less than 37 weeks), low birth weight is a critical indicator used to identify newborns who need special care.
- Most preterm babies are also LBW, making '2.5 kg of birth weight or less than' the correct answer in the context of identifying an at-risk neonate based on weight.
Why Other Options Were Wrong
- Option A: A birth weight of 3.5 kg is considered a healthy and normal weight for a full-term infant, not an indicator of prematurity or low birth weight.
- Option B: A birth weight of 4.0 kg (4000 g) or more is defined as macrosomia, meaning 'large for gestational age'. This is the opposite of being premature or having a low birth weight.
- Option C: A birth weight of 3.0 kg is within the normal, healthy range for a newborn and does not indicate prematurity.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition of Low Birth Weight and its relation to prematurity as background academic context rather than a clinical decision trigger.
- Nurses use birth weight and gestational age to assess a newborn's risk for complications like respiratory distress, hypoglycemia, and hypothermia. An accurate initial assessment is crucial for timely intervention.
- What if? If a baby is born at 38 weeks (full-term) but weighs 2.4 kg, they are not premature but are classified as 'Small for Gestational Age' (SGA). They still require close monitoring for complications associated with low birth weight, similar to a preterm LBW infant.
How to Approach the Question
- Step 1: Analyze the question. The question asks to define a 'premature' child using birth weight options.
- Step 2: Recall the technical definitions. Remember that 'premature' strictly refers to gestational age (less than 37 weeks), while 'low birth weight' refers to weight (less than 2.5 kg).
- Step 3: Evaluate the options provided. All options are based on weight. This indicates the question is using birth weight as a practical proxy for identifying an at-risk, often premature, infant.
- Step 4: Identify the standard clinical cutoff. The most critical and universally recognized weight cutoff for an at-risk newborn is 2.5 kg. A weight below this defines Low Birth Weight (LBW).
- Step 5: Select the option that matches this standard. The option '2.5 kg of birth weight or less than' directly corresponds to the definition of LBW and is the best answer among the choices.
Concept Tested & Keywords
- Concept Tested: Definition of Low Birth Weight and its relation to prematurity.
- Stem keywords: child, premature, birth weight
- Lead-in keywords: When do you call
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
Question ID
QAewjWPhsmROfTwd57Qplk
Reference Book
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
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 2189-2191
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Newborn Infants Questions
- When palpating the abdomen of hypertrophic pyloric stenosis infant, the Nurse finds:
- A pre-eclampsia woman's baby is lying with her mother. Neonate is born in 37 weeks. After 57 hours, when nurse is monitoring vital signs of baby, tem…
- Normally enteral feedings are flushed with water to open blocked tube and ease feeding. In which area it is done with air?
- A nurse is advised to give injection vitamin K for new born baby. The route and dose of Vitamin K is:
- Identify the following instrument used in hyperbilirubinemia monitoring based on the image:
- Which of the following equipment is used in Neonatal Resuscitation program?
- All of the following are the benefits of KMC (Kangaroo mother care); EXCEPT:
- Waxy or cheese like white substance found coating the skin of newborn human baby is known as:
- You are caring for a 3-day-old infant who is receiving Continuous Positive Airway Pressure (CPAP) therapy for respiratory distress. The infant is hem…
- In a newborn, APGAR score at 1 min is 7. Nurse found that baby’s mouth corner is stained with secretions of meconium? What is next best step?
More RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023 Questions
- Capacity of gall bladder is around
- The volume of blood that is pumped out by each ventricle at each heart beat is called
- Total number of cervical, thoracic and lumbar vertebrae comes to:
- Muscles of inspiration include all except
- Gluconeogenesis is decreased by
- Benedict's test is less likely to give weakly positive results with concentrated urine due to the action of
- Steaming of material at 100°C for 20 minutes for 3 consecutive days is
- Free living microbes that live on dead or decaying organic matter are known as
- The patients of following blood group have highest tendency of gastric carcinoma
- Increased uric acid levels are found in