NRSG 3303 Week 4 Normal Newborn Case Study SKINNY Reasoning: Northeastern University

Normal Newborn SKINNY Reasoning Copyright © 2019 Keith Rischer, d/b/a KeithRN.com. All Rights reserved. Copyright © 2019 Keith Rischer, d/b/a KeithRN.com. All Rights reserved. SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem One hour after Delivery: Anne is a 17-year-old, gravida 1 para 1 who is 39 weeks gestation. She recently experienced a normal spontaneous vaginal delivery on 6/12/2020 at 2300 without the use of pain medications or an epidural. She came in to labor on 6/12/2020 at 0600 stating she had broken her water yesterday at noon. She delivered a baby boy who was placed skin to skin following delivery. You assign Apgars of 8 and 9. Baby voided right after delivery and is due to stool. Weight: 7 lbs. 0 oz. (3.2 kg), 20 inches (50.8 cm) long. After he had his first feeding, erythromycin ointment was applied to his eyes. Vitamin K and hepatitis B vaccine (after consent given) were administered in right and left thigh in the outer aspect of the left thigh. Ann is Group Beta Strep (GBS) positive and received antibiotics 3 doses before delivery, blood type is B-, and rubella positive. Cord blood was sent.