Question

34 Unfolding Case Studies: Experiencing the Realities of Clinical Nursing Practice 2. What additional things would be indicated considering the histories for Babies A, B. and C? ersmdo o pnima Baby A is doing well. His blood sugar is 80 and he fed well at his first feeding, taking 1 oz. of formula. The mother states, "I hope he does not have diabetes like me." Baby B's mother refuses to feed or look at her daughter. "I will have plenty of time to take care of her at home, let me rest." Baby C is retured to his mother after the circumcision and has Vaseline gauze wrapped around his penis and a small spot of bright red blood in the diaper. Focus Questions How should the nurse respond to Baby A's mother? 1. lo How should the nurse document the interaction with Baby B's mother? List interventions the nurse might try to enhance bonding. 2. 3. What teaching instructions are needed for Baby C's mother?

Answer 1

1. Nurse should respond by saying that yes your baby is doing fine right now but he will have lifelong risk of developing diabetes so try to inculcate in him good lifestyle modifications so as to prevent the occurence of diabetes.

2. nurse will document this finding as absence of mother baby bonding. interventions will be:

• asking mother to breast feed the baby
• maintaining eye contact with the baby while feeding
• suggest her to keep her phone away
• Look in mirror together
• Listen to baby heartbeat
• advice mother to give baby massage
• advice her to do kangaroo mother care
• Respond to her cries

3. Teachings to baby c’s mother

• At every diaper change, gently wipe away any bits of poop . Use a gentle, unscented soap and warm water, and allow the area to dry on its own, which will prevent irritation.
• stick with sponge baths until it is healed andhis umbilical cord drops off.
• After surgery, a bandage with petroleum jelly may be placed on site that usually falls off the next time your baby pees
• Put on two diapers as that helps cushion site and keep his thighs from pressing against it; or can also put a Ziploc bag with ice in between the two layers to reduce pain.
• Keep an eye on it to make sure it’s healing properly. Report in case Persistent bleeding or more than quarter-sized spot of blood on his diaper, Persistent redness more than five days after circumcision, Yellow discharge lasting more than a week, Foul-smelling drainage, Fever, Swelling, Crusty, fluid-filled sores, Trouble urinating occurs