Exam (elaborations) NURS 3330 Baby Strickland Room 303 Med-Surg (All E

Exam (elaborations) NURS 3330 Baby Strickland Room 303 Med-Surg (All E Baby Strickland, 1-hour-old newborn female, 37-week gestational age born via C-section, weight 9.9 lbs. Mom has history of diabetes, not well controlled. You responded correctly to 2 out of 6 evaluations: Category Your response Explanation Educational Needs Normal acuity Status assessment reports uncontrolled diabetes. Health Increased acuity Status assessment reports mother is dx with diabetes and patient's birth weight is 9 lbs. 13 oz. LOC Increased acuity Status assessment reports no indication of abnormal LOC Pain Increased acuity Status assessment reports no indication of Pain Psych Increased acuity Status assessment reports no indication of Psychiatric deficits Safety Increased acuity Status assessment reports baby large for birth and at risk for volatile blood glucose. Baby Strickland 1-hour-old newborn female, 37-week gestational age born via C-section, weight 9.9 lbs. Mom has history of diabetes, not well controlled. You correctly diagnosed 5 out of 5 options: Physiological Description Your Response Explanation Hypoglycemia True Status assessment reports mother is dx with diabetes and patient's birth weight is 9 lbs. 13 oz. Impaired Gas Exchange False Patient is at risk for Impaired Gas Exchange if patient becomes hypoglycemic This study source was downloaded by from CourseH on :01:38 GMT -05:00 This study resource was shared via CourseH NURS 3330 Baby Strickland Room 303 Med-Surg (All Evaluations) Description Your Response Explanation Impaired skin integrity False Status assessment reports no indication of impaired skin integrity Ineffective breathing pattern True Status assessment reports patient is 1 hour old and is 9 lbs. 13 oz. Thermoregulation True Status assessment reports patient is 1 hour old. Scenario 1 Assessment: baby appears jittery, temp 97.2 under warmer, RR 62, HR 160 You correctly ordered 3 out of 5 actions: Your order Correct order Step 3 1 Obtain heel stick blood glucose level – level is 35 assess BG based on baby symptoms to determine possible cause 2 2 Feed baby ½ ounce formula correct intervention for hypoglycemia 1 3 Notify lab for confirmation blood glucose level - value is 29 Protocol is to get confirmation but do not wait on confirmation prior to intervention for safety concerns 4 4 Recheck blood glucose in 45 minutes, value is 45 reassess to see if intervention was effective 5 5 Continue to monitor baby may have future episodes of hypoglycemia and should be carefully monitored This study source was downloaded by from CourseH on :01:38 GMT -05:00 This study resource was shared via CourseH Scenario 2 Assessment: Vital signs RR 69, T 98.3, HR 170, retractions, grunting, and nasal congestion and flaring noted O2 sat 86%. You correctly ordered 3 out of 5 actions: Your order Correct order Step 1 1 Position baby in Trendelenburg Promotes ease of breathing and drainage of secretions 2 2 Suction excessive secretions via bulb syringe and NG tube Removes excess secretions 5 3 Place under oxy hood at 40% Need to achieve O2 sat 90% 4 4 Initiate IV D5 ¼ NS at 6 ml/hour Fluids to keep baby hydrated, access for IV medications if needed 3 5 Reassess respiratory system To see if interventions have been effective Scenario 3 The baby is found in the parents' room next to the air conditioner, with no blanket covering him. This study source was downloaded by from CourseH on :01:38 GMT -05:00 This study resource was shared via CourseH You correctly ordered 1 out of 5 actions: Your order Correct order Step 2 1 Assess vital signs – Temp 97.2, RR 66, HR 160 Assessment determines need for interventions and provides information 5 2 Wrap baby in warm blanket and put hat on baby’s head Quickest way to gradually warm baby and prevent further heat loss 3 3 Reassess temper