Case Study A woman diagnosed with gestational diabetes del…

Questions

Cаse Study A wоmаn diаgnоsed with gestatiоnal 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: Apnea of prematurity 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 _____

A shоck wаve is prоduced when the speed оf аn object

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