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Nursing Management of the Newborn at Risk: Acquired and Congenital Newborn Conditions

Nursing Management of the Newborn at Risk: Acquired and Congenital Newborn Conditions. 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)

  1. What are the “four T’s” that need to be assessed in a possible case of postpartum hemorrhage?
  2. Amy also tearfully tells you that she is experiencing anxiety and feelings of being overwhelmed. What is she experiencing, and what education are you going to provide?

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 fever?

3. Describe the care required to treat each of these infections.

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)

Nursing Management of the Newborn at Risk: Acquired and Congenital Newborn Conditions

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