Baby Strickland Room 303
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 6 out of 6 evaluations:
Your
Category response Explanation
Educational Increased Status assessment reports uncontrolled diabetes.
Needs acuity
Health Increased Status assessment reports mother is dx with
acuity diabetes and patient's birth weight is 9 lbs. 13 oz.
LOC Normal Status assessment reports no indication of abnormal
acuity LOC
Pain Normal Status assessment reports no indication of Pain
acuity
Psych Normal Status assessment reports no indication of
acuity Psychiatric deficits
Safety Increased Status assessment reports baby large for birth and
acuity at risk for volatile blood glucose.
Physiological
Your
Respons
Description e Explanation
Hypoglycemia True Status assessment reports
mother is dx with diabetes and
patient's birth weight is 9 lbs. 13
oz.
Impaired Gas FALSE Patient is at risk for Impaired Gas
Exchange Exchange if patient becomes
hypoglycemic
Impaired skin False Status assessment reports no
integrity indication of impaired skin
integrity
This study source was downloaded by 100000829216747 from CourseHero.com on 03-29-2022 04:41:40 GMT -05:00
https://www.coursehero.com/file/127431677/Baby-Stricklanddocx/
, Your
Respons
Description e Explanation
Ineffective True Status assessment reports
breathing pattern 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 5 out of 5 actions:
Your Correc
order t order Step Explanation
1 1 Obtain heel stick assess BG based on baby
blood glucose level symptoms to determine
– level is 35 possible cause
2 2 Feed baby ½ ounce correct intervention for
formula hypoglycemia
3 3 Notify lab for Protocol is to get
confirmation blood confirmation but do not wait
glucose level - on confirmation prior to
value is 29 intervention for safety
concerns
4 4 Recheck blood reassess to see if
glucose in 45 intervention was effective
minutes, value is
45
5 5 Continue to baby may have future
monitor episodes of hypoglycemia
and should be carefully
monitored
This study source was downloaded by 100000829216747 from CourseHero.com on 03-29-2022 04:41:40 GMT -05:00
https://www.coursehero.com/file/127431677/Baby-Stricklanddocx/
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 6 out of 6 evaluations:
Your
Category response Explanation
Educational Increased Status assessment reports uncontrolled diabetes.
Needs acuity
Health Increased Status assessment reports mother is dx with
acuity diabetes and patient's birth weight is 9 lbs. 13 oz.
LOC Normal Status assessment reports no indication of abnormal
acuity LOC
Pain Normal Status assessment reports no indication of Pain
acuity
Psych Normal Status assessment reports no indication of
acuity Psychiatric deficits
Safety Increased Status assessment reports baby large for birth and
acuity at risk for volatile blood glucose.
Physiological
Your
Respons
Description e Explanation
Hypoglycemia True Status assessment reports
mother is dx with diabetes and
patient's birth weight is 9 lbs. 13
oz.
Impaired Gas FALSE Patient is at risk for Impaired Gas
Exchange Exchange if patient becomes
hypoglycemic
Impaired skin False Status assessment reports no
integrity indication of impaired skin
integrity
This study source was downloaded by 100000829216747 from CourseHero.com on 03-29-2022 04:41:40 GMT -05:00
https://www.coursehero.com/file/127431677/Baby-Stricklanddocx/
, Your
Respons
Description e Explanation
Ineffective True Status assessment reports
breathing pattern 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 5 out of 5 actions:
Your Correc
order t order Step Explanation
1 1 Obtain heel stick assess BG based on baby
blood glucose level symptoms to determine
– level is 35 possible cause
2 2 Feed baby ½ ounce correct intervention for
formula hypoglycemia
3 3 Notify lab for Protocol is to get
confirmation blood confirmation but do not wait
glucose level - on confirmation prior to
value is 29 intervention for safety
concerns
4 4 Recheck blood reassess to see if
glucose in 45 intervention was effective
minutes, value is
45
5 5 Continue to baby may have future
monitor episodes of hypoglycemia
and should be carefully
monitored
This study source was downloaded by 100000829216747 from CourseHero.com on 03-29-2022 04:41:40 GMT -05:00
https://www.coursehero.com/file/127431677/Baby-Stricklanddocx/
