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

Chapter 18: Nursing Superintendence of the Newborn 1. As a postpartum entertain your direct client is an LGA baby boy who was born at 37 weeks' gestation. He had Apgar accounts of 8 and 9. He was circumcised. The dowager is breast-feeding. Your item requires a unmeasured impost, screenings, release instructions, and instrumentation. (Learning Objectives 4, 7, 8, and 10) Describe what a recognized top-to-toe impost would be for an infant born at 37 weeks' gestation. What standard is used to particularize this gestational age? What is the layer used to particularize the Apgar account, and are this baby’s accounts recognized? As the discharging entertain, you are lawful for what screenings in an infant in the leading 24 to 48 hours? What immunizations would be required? What release instructions would be connected to this dowager? How would you initiate her or the rise? How would you instrument your release instruction? Write a case truth of your instruction. 2. You are the newborn entertainry entertain and enjoy been named to the strive and bestowal followers to involve the bestowal of a G5P4 dowager whose pregnancy was entangled by gestational diabetes. At 2032 a virile infant thought 8 pounds 2 ounces was delivered vaginally succeeding a while the coadjutorship of a vacuum extractor. You enjoy assigned Apgar accounts of 7 and 9. (Learning Objectives 2, 3, 5, 6, and 8) Relate the imposts you insufficiency to propel out in this present postbestowal occasion determination. Describe the nursing interventions you conquer act precedently the baby is enslaved to the newborn entertainry. After preface the baby to the newborn entertainry, you attend-to that the baby has patent clear verbose turgescence and bruising on the occiput of his top from the vacuum extractor use. Discuss how you would disseminate among a cephalhematoma structure and caput succedaneum harvest. Which one is over thoughtful? When the baby is 6 hours old, you attend-to that he has grace jittery and is cyanotic. You repress a heel cleave rank sugar and it reveals a rank glucose intentione of 30. Discuss the present nursing interventions you conquer utensil and what joined interventions you can utensil to forefend this from occurring repeatedly in the coming. Chapter 19: Nursing Superintendence of Pregnancy at Risk: Pregnancy-Related Complications 1. Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks teeming. She stays succeeding your “What to Expect succeeding a while Twins” adjust to colloquy to you. Although Teresa is a entertain, she has numerous questions and concerns. Her twins are a consequence of years of unmanageable to get teeming and in vitro fertilization. She is expressive encircling whether she conquer enjoy a vaginal bestowal or a cesarean individuality. She is worried encircling having the babies prematurely. She wants you to recount her anything that could go injustice so she can be dexterous. (Learning Objectives 1 and 2) Why is Teresa’s pregnancy considered a high-risk pregnancy? Discuss germinative pregnancy-related complications for Teresa. Discuss the germinative risks to the babies. 2. Sarah is 19-year-old G1P0 at 36 weeks' gestation. Sarah has been followed weekly in the clinic for mild–modeblame preeclampsia. At her clinic provision today, Sarah’s rank urgency lection was 188/104. She is admitted to the antepartum item for superintendence of her worsening preeclampsia. You act her admission impost and voice that her reflexes are spirited, her kernel blame is 94, she complains of having an solemn topache, and is vision spots precedently her eyes. You act an abdominal impost and voice that she has speaking epigastric benevolence. (Learning Objective 5) Develop a intention of caution for the dowager experiencing preeclampsia, eclampsia, and HELLP syndrome.