Essentials of Maternity, Newborn, and Women’s Health Nursing

Chapter 18: Nursing Administration of the Newborn 1. As a postpartum assistant your abutting applicant is an LGA babyish boy who was built-in at 37 weeks' gestation. He had Apgar array of 8 and 9. He was circumcised. The mother is breast-feeding. Your assemblage requires a abounding assessment, screenings, acquittal instructions, and documentation. (Learning Objectives 4, 7, 8, and 10) Describe what a accustomed head-to-toe appraisal would be for an babyish built-in at 37 weeks' gestation. What analysis is acclimated to actuate this gestational age? What is the calibration acclimated to actuate the Apgar score, and are this baby’s array normal? As the absolution nurse, you are amenable for what screenings in an babyish in the aboriginal 24 to 48 hours? What immunizations would be required? What acquittal instructions would be pertinent to this mother? How would you brainwash her or the family? How would you certificate your acquittal teaching? Write a sample anecdotal of your teaching. 2. You are the bairn nursery assistant and accept been alleged to the activity and commitment apartment to appear the commitment of a G5P4 mother whose abundance was complicated by gestational diabetes. At 2032 a macho babyish belief 8 pounds 2 ounces was delivered vaginally with the abetment of a exhaustion extractor. You accept assigned Apgar array of 7 and 9. (Learning Objectives 2, 3, 5, 6, and 8) Relate the assessments you charge to backpack out in this actual postdelivery time period. Describe the nursing interventions you will accomplish afore the babyish is taken to the bairn nursery. After demography the babyish to the bairn nursery, you apprehension that the babyish has developed broadcast abscess and able-bodied on the occiput of his arch from the exhaustion extractor use. Discuss how you would differentiate amid a cephalhematoma accumulation and caput succedaneum development. Which one is added serious? When the babyish is 6 hours old, you apprehension that he has become afraid and is cyanotic. You analysis a heel stick claret amoroso and it reveals a claret glucose akin of 30. Discuss the actual nursing interventions you will apparatus and what added interventions you can apparatus to anticipate this from occurring afresh in the future. Chapter 19: Nursing Administration of Abundance at Risk: Pregnancy-Related Complications 1. Teresa is a 36-year-old primigravida who is assured twins. She is 26 weeks pregnant. She stays afterwards your “What to Expect with Twins” chic to allocution to you. Although Teresa is a nurse, she has abounding questions and concerns. Her twins are a aftereffect of years of aggravating to get abundant and in vitro fertilization. She is afraid about whether she will accept a vaginal commitment or a cesarean section. She is afraid about accepting the babies prematurely. She wants you to acquaint her aggregate that could go amiss so she can be prepared. (Learning Objectives 1 and 2) Why is Teresa’s abundance advised a high-risk pregnancy? Discuss abeyant pregnancy-related complications for Teresa. Discuss the abeyant risks to the babies. 2. Sarah is 19-year-old G1P0 at 36 weeks' gestation. Sarah has been followed account in the dispensary for mild–moderate preeclampsia. At her dispensary arrangement today, Sarah’s claret burden account was 188/104. She is accepted to the antepartum assemblage for administration of her deepening preeclampsia. You accomplish her acceptance appraisal and agenda that her reflexes are brisk, her affection amount is 94, she complains of accepting an acute headache, and is seeing spots afore her eyes. You accomplish an belly appraisal and agenda that she has cogent epigastric tenderness. (Learning Objective 5) Develop a plan of affliction for the woman experiencing preeclampsia, eclampsia, and HELLP syndrome.

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