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Gestational Age Assessment

Gestational age assessment determines a newborn's true maturity independent of maternal dates, which can be inaccurate. The New Ballard Score is the standard tool, combining six neuromuscular criteria (posture, square window, arm recoil, popliteal angle, scarf sign, heel to ear) and six physical criteria (skin, lanugo, plantar creases, breast tissue, ear cartilage, genitalia) for a score corresponding to 20-44 weeks. It is most accurate within 12-48 hours of birth; after 96 hours neuromuscular findings shift as the infant adapts to extrauterine tone. Once gestational age is set, the newborn is plotted on a growth curve and classified SGA, AGA, or LGA — and that classification, not the weight alone, drives nursing surveillance.

More creases, more cartilage, more flexion means more mature. Gestational age (weeks) and weight classification (SGA/AGA/LGA) are independent — a preterm infant can be LGA and a term infant can be SGA.

preterm <37
term 37-41 6/7
post-term ≥42
20
37
42
44

weeks

Weight classification drives risk

SGAAGALGA
Percentile<10th10th-90th>90th
Glucose riskhypoglycemiabaselinehypoglycemia
Other key riskpolycythemia, hypothermialowest riskbirth injury

SGA

Percentile
<10th
Glucose risk
hypoglycemia
Other key risk
polycythemia, hypothermia

AGA

Percentile
10th-90th
Glucose risk
baseline
Other key risk
lowest risk

LGA

Percentile
>90th
Glucose risk
hypoglycemia
Other key risk
birth injury
Ballard timing window
assess within 12-48 hours; less reliable after 96 hours
Ballard versus APGAR
Ballard rates maturity; APGAR rates transition at 1 and 5 minutes
weight does not equal age
low birth weight alone does not confirm prematurity
both Ballard components required
neuromuscular and physical maturity together estimate age
Report Nowescalate immediately
neonatal hypoglycemia Hallmark
highest-priority SGA and LGA risk; jitteriness, lethargy, poor feeding
symptomatic polycythemia
SGA; ruddy, lethargic, respiratory distress
temperature instability
SGA hypothermia from minimal subcutaneous fat
preterm respiratory distress
lung immaturity in the truly preterm infant

Clinical Pearl

Date the maturity, not the scale: more creases, more cartilage, more flexion mean more mature — then plot the weight, because a floppy infant with smooth soles arrived early and a term infant at 2,100 g is SGA hunting for hypoglycemia.

NurseSavvy™·nursesavvy.com

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