Rationalize the following actions or give the rationale of the ff actions. DON’Ts 1. Suctioning of newborn 2.Removal of vernix caseosa 3. Immediate cutting of cord
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Rationalize the following actions or give the rationale of the ff actions.
DON’Ts
1. Suctioning of newborn
2.Removal of vernix caseosa
3. Immediate cutting of cord
4. Milking of the cord
5. Bathing the newborn immediately
6. Foot printing
DO’s
7. Inner canthus to other canthus application of Erythromycin ointment
8. Skin to skin contact
9. Initiation of breastfeeding
10. Properly timed cord clamping/cutting of umbilical cord
11. Rooming- in
12. Exclusive Breastfeeding
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Solved in 6 steps
- Case Scenario Maine is a 20 year old Primi patient. She was at 6 cm cervical dilatation when she came in the Labor Room. She informed the nurse that the Pain is so severe and she asked for pain reliever. Maine was crying tremendously telling Nurse Sam that the pain is unbearable. Nurse Sam observed that the husband is not around and Maine was accompanied only by her Uncle. Upon checking the data, Nurse Sam found that Roxxane is not married. Her record showed that she visited the Pre natal clinic for three times only during the pregnancy period. Nurse Sam assessed the labor process and informed the Obstetrician on duty. Maine had a pain score of 4/10. Vital signs taken and recorded the following data ; BP 130/90 Pulse 85;, RR 26; Temperature 37.3 C. Nurse Sam noted also that the bladder is full, thereby assisted Roxanne to go in the bathroom. After 10 minutes, the Obstetricia came and ordered to give Diclofenac Sodium 75 mg IM stat. Question: 1. What other strategies/…Please help me to answer ALL the letters with the correct answer. NO MORE EXPLANATION1. What should be the initial nursing action after the birth of a preterm infant with an Apgar score of 6. A. check and clamp the umbilical cord B. dry the infant and place in a warm environment C. obtain a footprint and apply ID band D. get resuscitative equipment and assist the doctor 2. A baby is born with hyperbilirubinemia. The mother is asking yo. "Why is my baby's skin is yellow?" As a nurse you will explain this by saying: A. the spleen and the livers an attempt to destroy damaged blood cells B. as red blood cell is destroyed, indirect bilirubin is released C. there is depression of the bone marrow, resulting to decrease RBC D. ucoronyl transferase is too many that it prevents conversion of bilirubin 3. SGA newborns are at risk for difficulty in thermoregulation. As a nurse how can you best explain this to their parents. A. They are preterm so they are born relatively small in size B. They…Dental assistants are authorized to perform sub-gingival and supra-gingival scaling on pediatric patients. a. True b. False
- Case discussion:1. Toby and Sean are 4 year old boys due for DTP (diphtheria, tetanus and Pertussis ) boosters. Their mothers warned them both the injection might cause some discomfort however, they were reassured that the pain was well worth the benefit. Toby got so scared that his mother decided to postpone going to the doctor. Sean was also afraid but was brave enough to have his shot. Explain why it was beneficial for SEAN to receive his booster. Discuss the differences between the antibody titers between Toby and Sean after Sean received his booster shot. 2. Tetanus is caused by bacteria that enter the body through wounds in the skin. The bacteria produce a toxin which causes spastic muscle contractions. A patient goes to the emergency room after stepping on a nail. If the person has been vaccinated against tetanus, he is given a booster which consists of the toxin. If the patient has never been vaccinated against tetanus, he is given an antiserum shot against tetanus. Explain the…E. Fetal Circulation Select the structures described by the statements below. ductus arteriosus ductus venosus foramen ovale umbilical arteries umbilical vein 1. Opening between the atria. 2. Extensions of the hypogastric arteries. 3. Brings oxygenated blood to the fetus. 4. Connects the pulmonary artery with the aorta. 5. Carry fetal blood to the placenta. 6. Becomes the ligamentum venosum after birth. 7. Becomes the round ligament after birth. 8. Becomes the ligamentum arteriosum after birth. 1. 2. 3. 4. 5. 6. 7 8. Blood Vessels, Fetal Circulation, and Lymphatic System 313For each female patient seeking contraception , select the method that is medically contraindicated for that patient 1. A woman with multiple sexual partners 2. A woman with a history of deep vein thrombosis 3. A woman with moderate cystocele 4. A woman with severely reduced functional capacity as a result of chronic obstructive lung disease 5. A woman with a known latex allergy METHODS A. Oral contraceptives B. IUD C. Condoms D. Laparoscopic tubal ligation E. Diapraghm
- For each female patient seeking contraception , select the method that is medically contraindicated for that patient 1. A woman with multiple sexual partners 2. A woman with a history of deep vein thrombosis 3. A woman with moderate cystocele 4. A woman with severely reduced functional capacity as a result of chronic obstructive lung disease 5. A woman with a known latex allergy METHODS A. Oral contraceptives B. IUD C. Condoms D. Laparoscopic tubal ligationDrag each item to the correct box based on whether it is a contraindication, caution, or neither for the administration of ipratropium. Contraindication Caution Neither Ipratropium E Drug allergy to atropine E Diagnosis of narrow-angle glaucoma E Diagnosis of prostate enlargement = Allergy to soy = Drug allergy to ipratropium = Allergy to peanutsPlease read the case study, Giving Birth to Someone Else's Children? A Case of Disputed Maternity, and then answer the following questions: From Part I, Karen needs a kidney transplant and her sons are being tested for possible donors. However, it seems that the blood test have indicated that neither of her sons are her children based on HLA matching. 1. What is HLA? How is HLA determined and inherited? How is this used to match a donor and recipient for a tissue transplantation? 2. What are some possible explanations for Karen's situation? How would you test these hypotheses?
- Hi, can you make an FDAR or PDAR out of this case? Just not 'difficulty in breathing CASE # 2: RESPIRATORY DISTRESS IN THE NEWBORN Setting: Hospital Chief Complaint: “My baby is not breathing well” Vital Signs: HR: 145bpm; RR: 45bpm History Present Illness: The patient was born via cesarean section 1 hour ago to a G1P0 mother with no gestational complications at 39 weeks. The mother has routine prenatal care and no medical problems during her pregnancy. The mother states that the patient appears not to be breathing well. Physical Examination: General: Awake and alert Head: No hematoma, No Concussion Chest: Ribs can be seen between breaths, (+) Intercostal retractions CVS: S1S2 (+) tachycardia, no murmurs/rubs/gallops Lungs: (+) Crackles bilateral Abdomen: Soft, non-tender, non-distended, (+) bowel sounds Extremities: no cyanosis notedSusan, a 19 year old Gravida 1 Para female came in for watery vaginal discharges. Patient is 38 weeks AOG with regular prenatal exam at local health center. Upon speculum exam, pooling of fluid is observed and pelvimetry done showed diagonal conjugate of 10 cm. Which of the following is not true in this condition?a. On internal exam, fetus is at station +3b. Face and shoulder presentations are encountered more frequentlyc. Absent pressure of the head on lower uterine segment predisposes to less effective contractionsd. Cord prolapse are encountered more frequentlye. Early spontaneous rupture of membranes is more likely
