Question

Case Study Baby Boy James is a full-term newborn weighing 8 lb. 6 oz. His mother's pregnancy was i healthy and uncomplicated. At 30 hours of age, James is showing signs of jaundice and his bilirubin levels are increasing. His parents are very concerned that he is "sick” when phototherapy is initiated to assist in the treatment of jaundice. 1. Explain in detail the pathophysiology of newborn jaundice. (6 marks) 2. The parents ask the student practical nurse "What if we refuse the phototherapy?" What education will the nurse provide regarding consequences of untreated hyperbilirubinemia in order to assist the parents to make an informed decision? (3 marks) mood Homil nom de bolo 3. Identify the simple blood test a nurse can perform which is most commonly used to confirm the decision for initiation and management of phototherapy. (1 mark) silom lominudin molimbii rombom bombo 4. Explain how phototherapy works to treat jaundice. Define the specific interventions which are required for safe nursing care during phototherapy. (6 marks) 5. Describe ways the nurse can encourage bonding to foster a positive attachment between the newborn and the parents during the treatment for jaundice. (3 marks)

Answer 1

1. Now a days it is very common that the new born baby is suffered from jaundice. Increased in Bilrubin is caused of physiologic jaundice. Pathophysiology. Jaundice comes from high levels of bilirubin in the blood. Bilirubin is a waste product, it produced when red blood cells are broken down. The yellow color of the skin in new born is jaundice. It generally occurs in the First week after born. If we can't diagnosed the jaundice of new born baby at right time , brain can be damaged of new born baby. If there is any type of blood infection it may cause jaundice in new born. The most common risk factor of pathophysiological jaundice is premature ( if baby born before time), weight is very less after birth. There are different types of pathophysiological jaundice like breastfeeding jaundice, breast milk jaundice.