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Question 10: A nursing care plan has been created for a term small-for-gestational-age neonate who was
admitted to
the NICU. A priority nursing diagnosis was: Imbalance nutrition: Less than body requirements. The
goal
was for the newborn to reach 4 pounds by a specified date. On the specified date, the infant weighs 3
pounds and 2 ounces. The nurse should:
A. Increase the daily number of calories
B. Reassess the problem before altering the plan
C. Postpone the evaluation date for another month
D. Change the goal to a more realistic number
Correct Answer: B
Explanation: The nurse should reassess the problem before altering the plan. Before further
intervention,
the reason for the inadequate weight gain must be evaluated. Evaluation should be done before
changing
the plan or altering the goal.
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