Question

Stephanie is 2 days old, born via cesarean section. She last fed 6 hours ago. Her mother tells the nurse that Stephanie is so sleepy that she doesn’t have the heart to wake her.

1. Discuss the approach the nurse should take when responding to the statements made by Stephanie’s mother.
2. Interpret the following lab results (normal, abnormal, intervention required):
   1. Glucose 76 mg/dl
   2. Hemoglobin 17 g/L , Hematocrit 52%
   3. Total Bilirubin 14 mg/dL
3. Identify one priority nursing diagnosis appropriate for this situation.
4. Identify one short term goal for the chosen nursing diagnosis.
5. Then, discuss three interventions to help this couple meet the goal that you have set.
6. List your references in APA style and format.

Answer 1

1. Glucose: normally

2. Hemoglobin: Normal.

3. Hematocrite: abnormal-low

4. Bilirubin's: abnormal- increased.

II. Nursing diagnosis:

1. Ineffective breathing pattern related to disease condition.

III. Short term goal:

1. To maintain normal breathing pattern.

IV. Intervention:

1. Monitor vitamins signs closely.

2. Provide respiratory assistance like oxygen hood.

3. Position the infant on the side, by placing rolled blanket under back.

4. Provide tactile stimulation during the period of apnea.

Reference:

1. Paul Sutra," Textbook of pediatric nursing" 3re edition, jayoee publication, page no: 129- 176.