All of the following activities are important in the immediate care of the premature neonate in the delivery room. Which one should have the greatest priority?
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Case Study A woman diagnosed with gestational diabetes del…
Case Study A woman diagnosed with gestational diabetes delivered a 7-pound 2-ounce male at 36 weeks after spontaneous rupture of membranes without complications at 0532. APGARS were 8/8. The mother states that the neonate successfully breastfed for thirty minutes right after birth. Nurses’ Notes 0900: Upon rounding with the pediatrician on the perinatal unit, a nurse notes the newborn is demonstrating fast and shallow breathing, grunting, nasal flaring, chest retracting, and skin color dusky. The mother states she tried to breastfeed, but the baby did not seem to be interested and is sleeping soundly. The neonate has yet to void or stool. 0910. Blood glucose 34 mg/dl. Newborn is lethargic with poor muscle tone. Passed meconium. Auscultation of the lungs reveal inspiratory crackle and expiratory grunting. Vital Signs Time 0900 0910 Temp 97F 97F HR 156 160 RR 76 76 B/P 70/35 N/A Pulse oximeter 91% on RA 90% on RA Pain 0 0 Orders: CBC with differential Metabolic panel Arterial blood gases Blood cultures Meconium for toxicology Chest x-ray Oxygen via hood Laboratory Results Lab Results Reference range ABG pH 7.25 7.35-7.45 ABG P02 58 60 -70 mm Hg ABG PC02 52 35-45 mmHg ABG SaP02 88 95-100% ABG HC03 17 22-26 mEq/L Glucose 34 40-60 mg/dl Hematocrit 53 Newborn 46-68% Hemoglobin 18 g/dl Newborn 15.2-23.6 g/dl WBC 10 9.1 – 30.1 x 103 cells/mm3 Blood type O+ Diagnostic Reports Echocardiogram no congenital heart defect noted. Chest x-ray hypo aeration- ground glass pattern Fill in the blanks Make sure to use the exact wording of the choices below The condition the newborn is most likely experiencing is_______________ and the focus of nursing management is ____________. Choices for 1st blank are: Neonatal abstinence syndrome Neonatal septic shock Respiratory distress syndrome _______ Make sure to use the exact wording of the choices below Choices for 2nd blank are: supportive care early surfactant administration early identification of infection _______
To avoid heat loss by convection, the nurse should.
To avoid heat loss by convection, the nurse should.
To treat postpartum hemorrhage, the nurse anticipates which…
To treat postpartum hemorrhage, the nurse anticipates which of the following interventions to be utilized? Select all that apply.
The nurse would be most alert for the development of transie…
The nurse would be most alert for the development of transient tachypnea in a newborn who:
Which one of the following symptoms is a sign of postpartum…
Which one of the following symptoms is a sign of postpartum psychosis?
To promote comfort and healing of the episiotomy, what treat…
To promote comfort and healing of the episiotomy, what treatment is often used immediately following birth?
A new mother is beginning to experience nipple discomfort wh…
A new mother is beginning to experience nipple discomfort while breastfeeding. What would be the nurse’s first priority in the plan of care?
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