Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 24: Nursing Management of the Newborn at Risk: Acquired and Congenital Newborn Conditions 1. On the evening shift in the special care nursery, you are paged to delivery room 5. When you arrive, the labor nurse says the baby has been stuck in the birth canal for a while, and the fetal heart tones are down. They use the vacuum suction to assist delivery. The doctor gets the baby out and places the infant on the radiant warmer. You are the resuscitating nurse for the infant, and you observe the following: the infant is limp, pale, gasping, has poor tone, and the heart rate is 101. (Learning Objective 1) 1. What are your first actions to aid in this infant’s recovery? 2. What Apgar score would you assign at 1 minute with these results? Explain the score for each category. 2. Tammi is an 18-year-old single mother who delivered a full-term infant 3 days ago. The father is not involved, and Tammi’s aunt is her support person. The infant is very fussy in the nursery, with mild tremors noted. Tammi is having a hard time feeding her baby, the baby spits up a lot and he does not console easily. The physician has been called to assess the infant. (Learning Objective 7) 1. What is the probable cause of the infant’s symptoms, and what questions do you need to ask the mother? 2. What is the acronym of the tool used in assessing the infant’s condition, and what are the top three substances used that can cause this condition? 3. Name what measures are used to test for this condition and on whom you perform the test. 3. Mandy just gave birth vaginally to her first child. Mandy and James had attended prenatal classes and had a natural childbirth. They were totally unprepared to see that baby “Rose” has a severe left-sided unilateral cleft lip and cleft palate. James is having a hard time with this and just keeps staring at the baby. Mandy begins to cry and states “I thought I was going to breast-feed my baby and now it’s impossible.” (Learning Objectives 12, 14, and 15) 1. A. Discuss the implications for bottle feeding and breast-feeding a baby with a unilateral cleft lip. Is it possible for Mandy to breast-feed Rose? 2. B. What is involved in the surgical correction of the defect? When can she eventually have a “normal” mouth and facial features? 3. C. What other problems may develop for Rose since she has this type of defect? D. How can you assist the family bond with Rose?
1. As the baby is gasping oxygen supplement should be given
immediately followed by resuscitation.
2. The baby looks to be pale in appearance so the score in
appearance category is 0. The pulse rate is 101 so the score is 2.
The baby is limp, no activity, so the score is 0. The baby is
gasping so the score is 1. The Apgar score is 3.
Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 24: Nursing Management of the Newborn at Risk: Acqu...
Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 24: Nursing Management of the Newborn at Risk: Acquired and Congenital Newborn Conditions 1. On the evening shift in the special care nursery, you are paged to delivery room 5. When you arrive, the labor nurse says the baby has been stuck in the birth canal for a while, and the fetal heart tones are down. They use the vacuum suction to assist delivery. The doctor gets the baby out and...
2. Tammi is an 18-year-old single mother who delivered a full-term infant 3 days ago. The father is not involved, and Tammi’s aunt is her support person. The infant is very fussy in the nursery, with mild tremors noted. Tammi is having a hard time feeding her baby, the baby spits up a lot and he does not console easily. The physician has been called to assess the infant. (Learning Objective 7) 1. What is the probable cause of the...
Mandy just gave birth vaginally to her first child. Mandy and James had attended prenatal classes and had a natural childbirth. They were totally unprepared to see that baby “Rose” has a severe left-sided unilateral cleft lip and cleft palate. James is having a hard time with this and just keeps staring at the baby. Mandy begins to cry and states “I thought I was going to breast-feed my baby and now it’s impossible.” A. Discuss the implications for bottle...
Case Studies Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 16: Nursing Management During the Postpartum Period 1. You are caring for Bonnie, age 42, who has just undergone a cesarean birth for her first baby. You are responsible for monitoring her condition during recovery and for teaching her how to take care of herself and her baby. (Learning Objectives 2, 3, 4, 5, and 7) 1A. You note that Bonnie has a positive Homans’ sign in the left...
Case Studies Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 22: Nursing Management of the Postpartum Woman at Risk 1. Amy calls the office 3 days after delivering a healthy baby girl and tells you she is passing small clots and feels like her bleeding is heavier than it should be. You advise Amy to come into the clinic to be checked. (Learning Objectives 1, 2, 3, and 6) What are the “four T's” that need to be assessed...
Case Studies Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 15: Postpartum Adaptations 1. You are caring for Linda, who has just delivered her first baby. You are responsible for assessing Linda’s condition during recovery and for doing patient teaching when the opportunity arises. (Learning Objectives 2 and 3) While she is recovering, you keep checking her fundal height. Linda asks you how her uterus will go back to the way it was before she had the baby. How...
Tammi is an 18-year-old single mother who delivered a full-term infant 3 days ago. The father is not involved, and Tammi’s aunt is her support person. The infant is very fussy in the nursery, with mild tremors noted. Tammi is having a hard time feeding her baby, the baby spits up a lot and he does not console easily. The physician has been called to assess the infant. (Learning Objective 7) 1. What is the probable cause of the infant’s...
Case Studies Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 22: 2. Alyssa, age 26, had a cesarean delivery 7 days ago and is breast-feeding her baby. She calls the office today and reports that she has a temperature of 102. (Learning Objective 5) 1. Given the limited information you have, describe the four most likely types of infection Alyssa may have contracted. 2. What additional questions do you want to ask her to try to ascertain the cause of her...
Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 17: Newborn Transitioning 1. Sarah works in the labor and delivery unit as a transition nurse. Her department has instituted a new bedside transition period where newborns make the transition to extrauterine life in their mother’s recovery room about an hour after birth. Sarah’s next assignment is a new baby boy with Apgar scores of 8 and 9, born by cesarean about 1 hour ago to Lindsay, a 28-year-old G1. Sarah’s...
Case Studies Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 21: Nursing Management of Labor and Birth at Risk . These not answered. 2. Carol, age 17, is pregnant with her first child. Her menstrual dates are accurate and her date of conception is limited to one possible day. Her physician gives her an EDC of March 28th. Carol has gone past her due date and refuses to have her labor induced. Carol states, “My grandmother says that the...