MCP PEDIA (Lesson 3-5)

A medical illustration depicting fetal growth development stages and factors affecting gestational age in a healthcare setting, with diagrams of SGA and growth restrictions.

Understanding SGA and Growth Restriction

Test your knowledge on small for gestational age (SGA) infants and growth restrictions with our comprehensive quiz. This quiz covers key concepts, causes, and symptoms relevant to fetal growth patterns.

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50 multiple-choice questions
Applicable for healthcare professionals and learners
Insights on prenatal health and complications

50 Questions12 MinutesCreated by CuriousNurse24

Infants whose weight is less than the 10th percentile on an intrauterine growth curve for that gestational age

Premature

Post mature

SGA (Small for Gestational Age)

LGA (Large for Gestational Age)

Results from placental or maternal problems that growth restrictions. - typically manifest in the 2nd or 3rd trimester .

Symmetric Growth Restrictions

Asymmetric Growth Restrictions

A in gestation, often the fetal pattern problem that begins early first trimester .

Symmetric Growth Restrictions

Asymmetric Growth Restrictions

Common causes of symmetric growth restrictions, except:

Renal disease

Genetic disorders

First Trimester congenital infections like cytomegalovirus, rubella or toxoplasma gondii

Resulting from maternal disease involving the small blood vessels.

Placental involution

Placental insufficiency

Chronic maternal hypoxemia

Maternal malnutrition

It is caused by pulmonary or cardiac diseases.

Placental involution

Placental insufficiency

Chronic maternal hypoxemia

Maternal malnutrition

Accompanying postmaturity

Placental involution

Placental insufficiency

Chronic maternal hypoxemia

Maternal malnutrition

Common causes of asymmetric growth restrictions, except:

Preeclampsia

Hypertension

Genetic disorders

Long standing diabetes

An infant may also have asymmetric growth restriction and be small for gestational age if the mother is a heavy user of opioids, cocaine, alcohol, and/or tobacco during pregnancy.

True

False

Maybe

Many SGA infants are healthy but just constitutionally small, and not all infants whose growth was restricted in utero are SGA (weight is < the 10th percentile for gestational age).

True

False

Sign and symptoms of SGA. Select all that apply

Thin muscle mass and due to decrease subcutaneous tissue.

Skin appearance, ear cartilage, sole creases, alert spontaneous activity, zest for feeding

Sunken facial feature resembling those of an elderly person ("wizened facies").

Thick and large umbilical cord.

Full-term SGA infants do not have the complications related to organ system immaturity that preterm infants of similar size have.

True

False

Maybe

Due to perinatal asphyxia, that triggers Vagus reflex of anal sphincter releasing meconium.

Meconium aspiration

Hypoglycemia

Placental asphyxia

Polycythemia

It is caused by placental insufficiency (decrease O2).

Meconium asphyxia

Hypoglycemia

Placental asphyxia

Polycythemia

Lack of adequate glycogen synthesis does decrease glycogen stores and must be treated quickly with IV glucose.

Meconium asphyxia

Hypoglycemia

Placental asphyxia

Polycythemia

There is a specific intervention for the SGA, but prevention is aided by prenatal advice on the importance of avoiding alcohol, tobacco, and illicit drugs.

True

False

This rule is used to estimate the weight of the fetus in grams.

Johnson’s Rule

Bartholomew’s Rule

Jhonson’s Rule

Jonson’s Rule

Which of the following is the correct formula for Johnson’s Rule?

Fundic height in m – n (k)

Fundic height in cm + n (k)

Fundic height in cm – n (k)

Fundic height in cm + n (k)

K is constant, it is always _____. N is 12 if the fetus is engaged. It is 11 if the fetus is not yet engaged.

144

155

166

177

Distinctive face with a flattened nasal bridge and nostrils that are tilted upward.

Marshall syndrome

Weaver syndrome

Beckwith-Weidemann syndrome

Sotos syndrome

Characterized by macrosomia, omphalocele and macroglossia and nevus flammeus.

Marshall syndrome

Weaver syndrome

Beckwith-Weidemann syndrome

Sotos syndrome

Bone overgrowth, usually very tall and may have distinct facial features, such as wide set eyes.

Marshall syndrome

Weaver syndrome

Beckwith-Weidemann syndrome

Sotos syndrome

This rule determines the Age if Gestation (AOG) of a fetus depending on the height of fundus.

Johnson’s rule

Jonson’s rule

Bartholomew’s rule

Bartholome’s rule

Because of the infant’s large size, vaginal delivery may be difficult and occasionally results in birth injury, particularly including SHOULDER DYSTOCIA, FRACTURE OF THE CLAVICLE OR LIMBS, and PERINATAL ASPHYXIA

True

False

There is a proportional increase in morbidity and mortality due to the following: EXCEPT

Blood glucose levels should be closely monitored by bedside testing from birth through the first ___ hours.

6hrs

12hrs

24hrs

48hrs

Oral treatment with __% glucose gel may be tried first, but if there is persistent hypoglycemia, parenteral IV glucose is given.

40%

30%

20%

10%

If the placenta is unable to meet the ⬆︝ oxygen demand, fetal hypoxemia occurs, triggering an ⬆︝ in erythropoietin.

True

False

What does RDS means?

Respiration Disorder Syndrome

Respiratory Disorder System

Respiratory Distress Syndrome

Respiratory Distress Symptoms

Surfactant is not produced in adequate amounts until relatively late in gestation ( _________ weeks).

32 to 34 weeks

34 to 36 weeks

36 to 38 weeks

38 to 40 weeks

Signs and symptoms of Meconium Aspiration Syndrome. Select all that apply

Treatment for Meconium Aspiration Syndrome. Select all that apply

It is related to neonates physical illness and hospitalization.

Hyperthermia

Risk for Impaired parent/neonates attachment

Fluid volume deficit

Interrupted breastfeeding

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MCP PEDIA (Lesson 3-5)

Understanding SGA and Growth Restriction

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