You are assigned to the mother-baby couplet unit. Your assignment for the day includes the Sanchez family. Margarite is a 28-year-old G3 P2 Hispanic woman who gave birth to a healthy boy, Manuel, at 0839. Margarite experienced an uncomplicated labor of 12 hours. Membranes ruptured 7 hours before delivery. She received 2 doses of Nubain during labor. The last dose was given at 0440. Manuel weighs 3,800 grams and is 50 cm in length. His 1- and 5-minute Apgar scores were 8 and 9. Manuel is 2 hours old. The Ballard score indicates that Manuel is 39 weeks. Margarite breastfed her son for 15 minutes on each breast immediately after the birth.
Your initial shift assessment findings are:
Vital signs: Axillary temperature, 36.2°C; apical pulse, 100
beats per minute; respirations, 30 breaths per minute. Skin is warm
and pink with acrocyanosis. Fontanels are soft and flat.
Molding is present. Lung sounds are clear. There is mild nasal
flaring. Manuel is in a sleep state and unresponsive to external
stimuli.
Thirty minutes later you note that Manuel is jittery and exhibits signs of hypoglycemia.
Several hours later, Manuel’s father is present and holding Manuel.
Answer all questions and cite your sources!
1. Based on the above information , the child is having respiratory distress .
2. Immediate action is oxygen supplementation .
3. Nursing interventions :-
Continuous monitoring & close observation
Obtain necessary specimens for lab
Continuously monitor pulse oximetry
Suction as indicated, not ET suctioning
Maintain thermoregulation
Provide nutrition (parenteral, avoid oral)
Cluster nursing activities
Educate parents & provide emotional support
Silverman-Anderson Index
4. Signs and Symptoms of Hypoglycemia
Jittery (tremor, can look like seizure)
Irritability
High-pitched or weak cry
Poor feeding, poor suck or coordination (automatic lactation nurse)
Lethargy, hypotonia (floppy rag doll)
Hypothermia, tachypnea, cyanosis, apnea, seizures
May be asymptomatic (need to check)
#. Nursing Interventions :-
assess blood glucose before feedings, IV supplementation if can't orally eat, neutral thermal environment.
You are assigned to the mother-baby couplet unit. Your assignment for the day includes the Sanchez...
You are assigned to the mother-baby couplet unit, where your patients for the day include the Sanchez family. Margarite is a 28 y.o. G3P2 Hispanic woman who gave birth to a healthy male, Manuel at 0839. Margarite experienced an uncomplicate labor of 12 hours. Membranes ruptured 7 hours before delivery. She received 2 doses of Nubain during labor. The last dose was administered at 0440. Manuel weighs 3,800 grams and is 50cm in length. His 1 and 5 mins Apgar...
You are assigned to the mother–baby couplet unit. Your assignment for the day includes the Sanchez family. Margie is a 28-year-old G3 P2 who gave birth to a healthy boy, Manuel, at 8:39 AM. Margie experienced an uncomplicated labor of 12 hours. Membranes ruptured 7 hours before delivery. Manuel weighs 3800 grams and is 50 cm in length. His 1- and 5-minute Apgar scores were 8 and 9. Manuel is 2 hours old. The Ballard score indicate that Manuel is 39 weeks....
As the nurse, you admit Margarite Sanchez to the postpartum unit at 10:50 am, and receive the transfer report from Labor and Delivery stating the following:Patient is a 28 year old G3 P2 Hispanic woman, who gave birth at 8:39 a.m., vaginal delivery with a second-degree laceration.She received 2 doses of Nubain in labor at 2:15 am, and 4:40 am, for pain relief in active labor.Both mother and baby are stable.The mother's bleeding in labor and delivery was moderate.VS 120/68-72-20-98.2MS....
Chapter 8—Intrapartum assessment and interventions As the nurse, you admit Margarite Sanchez to the labor and delivery unit. She arrived in the triage unit at midnight in early labor. She presented with uterine contractions that were 5 minutes apart for 3 hours. The patient is a 28-year-old G3 P1011 Hispanic woman. She is at 39 weeks’ gestation. José, her husband, has accompanied her to the unit. Two years ago, she had a normal spontaneous vaginal delivery after an 18-hour labor...
newborn assessment
Case Studies: include the case study in your response... you may cut and paste it. Case studies/NCPs are NOT a group assignment. Each student completed individually demonstrating knowledge gained and critical thinking skills. Re-read the instructions in the Medical Surgical case studies if you do not remember the correct way to complete case studies and NCPs. email to [email protected] Please allow 7 business days for an email response to your submitted work as they are read and commented upon. Essentials...
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