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NURSING RNSG 2208 Tanisha Hernandez - NEWBORN CASE STUDY

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Tanisha Hernandez NEWBORN CASE STUDY Learning Objectives .Analyze assessment data for newborn infants .1 Describe the behavioral adaptations of the newborn, including periods of .2 .reactivity .Discus ... s routine neonatal nursing interventions .3 .Identify interventions for newborn infants with common complications .4 .Discuss initial care needs of a newborn infant delivered by C-section .5 Discuss commonly used obstetric medications and their nursing implications .6 CRITICAL THINKING QUESTIONS 1. What physical & behavioral characteristics do you expect to observe in a newborn infant during the transition period? Include vital signs, breathing patterns, physical activity & behavior, skin color changes, etc. 2. Baby Nelson has just been delivered via C-section. It was a long labor process. Your initial assessment findings reveal: Heart rate of 120, respirations are 28 irregular and shallow. He has cyanosis on hands and feet. He grimaces when he is suctioned and his extremities are flaccid. How will you record his APGAR score at one minute? What interventions (if any) should be performed? 3. Baby Jane is 23 hours old and has a serum bilirubin of 13. What do you suspect is happening? What do you expect the plan of care will be for this baby? 4. The nurse is assessing a 2-hour-old infant during the transition period the nurse obtains the following: Heart rate 148 – Respirations – 52 – Temperature 97 F – Blood glucose 30. What are the normal vital signs and glucose range for a newborn? What do these vital signs and blood glucose indicate? What are your nursing interventions? 5. Baby Jayden is born at 37 weeks to a gestational diabetic mother. Jayden weighs 9lb 2 oz. She seems to be shaking and jittery soon after birth. What complications may she be suffering from? Why is this happening? What are your priority nursing interventions for her? 6. What are the physiologic adjustments a newborn must make to adjust to extrauterine life? 7. Describe each of the following newborn assessment terms and identify it as a normal variation (no cause for concern) or abnormal (complication that requires physician notification). (a. Transient tachypnea of the newborn (abnormal (b. Mongolian spots (normal (c. Acrocyanosis (normal (d. Diaphragmatic Hernia (abnormal Describe the correct way to perform a heel stick on a newborn infant and .8 ?describe why it is important to perform this skill correctly 9. Describe discharge teaching the nurse provides for the mother regarding her baby’s umbilical cord and circumcision (include complications and cleaning.) Umbilical Cord care - Circumcision care - 1. Complete drug studies for: A. Vitamin K B. Erythromycin ophthalmic ointment C. Hepatitis B vaccine [Show More]

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