Large-for-Gestational Age (LGA)
New-born Nursing Care Plan &
Management
Description
1. A LGA new born is one weighs more than 4,000 g, is above
the 90th percentile, or is two standard deviations above the
mean.
2. The LGA infant can be pre-term, term, or post-term.
Aetiology
Predisposing factors include:
1. Genetic predisposition
2. Excessive maternal weight gain during pregnancy.
3. Poorly controlled maternal diabetes secondary to high levels
of maternal glucose that cross the placenta during
pregnancy.
Pathophysiology
1. Infants who are large for gestational age have been
subjected to an overproduction of growth hormone in utero.
This most frequently happens with infants of diabetic
mothers who are poorly controlled. It may also occur in
multiparous pregnancies because with each pregnancy
babies tend to grow larger.
2. Other associated conditions include transposition of the
great vessels, Beckwith syndrome and congenital
anomalies.
Assessment Findings
Clinical manifestations include:
1. Complications associated with maternal diabetes
2. Birth injuries due to disproportionate size of new born to
birth passageway
New-born Nursing Care Plan &
Management
Description
1. A LGA new born is one weighs more than 4,000 g, is above
the 90th percentile, or is two standard deviations above the
mean.
2. The LGA infant can be pre-term, term, or post-term.
Aetiology
Predisposing factors include:
1. Genetic predisposition
2. Excessive maternal weight gain during pregnancy.
3. Poorly controlled maternal diabetes secondary to high levels
of maternal glucose that cross the placenta during
pregnancy.
Pathophysiology
1. Infants who are large for gestational age have been
subjected to an overproduction of growth hormone in utero.
This most frequently happens with infants of diabetic
mothers who are poorly controlled. It may also occur in
multiparous pregnancies because with each pregnancy
babies tend to grow larger.
2. Other associated conditions include transposition of the
great vessels, Beckwith syndrome and congenital
anomalies.
Assessment Findings
Clinical manifestations include:
1. Complications associated with maternal diabetes
2. Birth injuries due to disproportionate size of new born to
birth passageway
