Question

Danny is a full-term infant who was born via an emergency cesarean section for a placental abruption. Danny’s 15-year-old mother, Karla, admitted to having used “some cocaine” during her pregnancy. Karla has been discharged home but Danny is still in the hospital awaiting clearance from the Department of Social Services. Karla’s mother Anna arrives at the hospital to visit Danny. Anna is considering taking care of Danny. After trying to feed Danny for several minutes, Anna called the nurse and exclaimed, “ I believe that something is wrong with Danny. He is spitting up a lot, he gets all stiff and rigid, and he has not stopped crying since I have been here. I do not think I know how to care for him if this is how he is going to behave.”

Critical Thinking Questions ****** Answer IN DEPTH "

3. Describe the teaching/learning needs related to the scenario that correspond to the priority nursing diagnosis.

4. List nursing interventions with rationales that correspond to the priority nursing diagnosis.

Answer 1

3Spitting up and colic are parts of normal development in otherwise thriving infant and do not require medical intervention.Some of the possible outcomes of using cocaine during pregnancy are microcephaly,growth deficiency,irritability and tremors in infancy,increased risk for SIDS,reduced ability of the infant to respond to faces and to interact with people and infants that are difficult to console.This needs to be explained to the Anna

4.A neonate undergoing cocaine withdrawl is irritable,often restless,difficult to console and often in need of increased activity.it is commonly helpful to swaddle the neonate tightly with a blanket ,offer a pacifier and cuddle and rock the neonate.Offering extra nourishment is not advised because overfeeding tendst increase GI problems such as vomiting ,regurgitation and diarrhea.Environmental stimuli such as bright light and loud noises should be kept at a minimum to decrease agitation.Minimizing touching the infant to only when they cry will not aid the bonding process between mom and baby