Swift River: Pediatrics Exam || Most Recent Exam
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Baby Strickland - Answer-Alteration in thermoregulation
Hypoglycemia
Ineffectual breathing pattern
Baby Strickland - Answer-Educational- increased
Health- increased
LOC- normal
Pain- normal
Psych- normal
Safety- increased
Baby Strickland- Scenario 1 - Answer-Obtain heel stick
blood glucose level
Feed baby 1/2 ounce formula
Notify lab for confirmation blood glucose level
Recheck blood glucose in 45 minutes
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Continue to monitor
Baby Strickland- Scenario 2 - Answer-Position baby in
trendelenburg
Suction excessive secretions via bulb syringe and NG
tube
Place under oxy hood at 40%
Initiate IV D5 1/4 NS at 6ml/hour
Reassess respiratory system
Baby Strickland- Scenario 3 - Answer-Assess vital signs
Wrap baby in warm blanket and put hat on baby's head
Reassess temp in 15 minutes
Place baby in radiant warmer
Educate parents on neonatal heat loss
Baby Strickland- Scenario 4 - Answer-Place infant in
isolation radiant warmer
Obtain ordered blood cultures
Initiate IV Ampicillin per MD order
Reassess blood glucose
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OG feed infant 15 ml infant formula
Baby Strickland- Scenario 5 - Answer-Place infant in triple
phototherapy isolette
Place protective eye shields over the baby's eyes
Initiate the phototherapy treatment
Feed infant every 2 1/2 hours
Document number of voids and stools per shift
Madelyn Harrison - Answer-Educational- increased
Health- increased
LOC- normal
Pain- normal
Psych- increased
Safety- increased
Madelyn Harrison - Answer-Alteration in Nutrition
Ineffectual health management
Anxiety
Knowledge deficit
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Madelyn Harrison- Scenario 1 - Answer-Ask Madelyn if
she has any concerns to be addressed
Have Madelyn perform a 24- hour food recall
Ask Madelyn what are her favorite foods
Have Madelyn describe her normal activities
Document findings in the electronic health record
Elijah Williams - Answer-Educational- Increased
Health- normal
LOC- normal
Pain Level- normal
Psychological needs- normal
Safety- normal
Elijah Williams - Answer-Knowledge deficit
Elijah Williams- Scenario 1 - Answer-Ask the child and/or
parent to verify name/DOB
Ask the child to remove his shoes
Obtain a height and weight for the child
Provide the parent with a urine sample cup