Monitoring In Neonates Validation

Risk assessment for jaundice should be performed on an infant before discharge from the hospital, using TB or transcutaneous bilirubin and/or assessment of risk factors. Therefore, if the TB is plotted on a nomogram prior to discharge, the PNP will have an idea about the infants risk for developing hyperbilirubinemia at the initial newborn visit and can guide the need for laboratory evaluation. If this is not available, the PNP should be aware of major risk factors for the development of hyperbilirubinemia including jaundice present in the first 24 hours of life, blood group incompatibility, gestational age of 35-36 weeks, sibling history of phototherapy, cephalohematoma or significant bruising, exclusive breastfeeding, and East Asian race (AAP, 2004).

Some nurses turn up the babies’ oxygen because of other health care issues such as patent

This patient has oxygen saturation levels of 94%on air. Thus, she is considered to be within the lower-level of being within the normal range. At this moment, it would not be necessary to give emergency oxygen according to the Guideline for emergency oxygen use in adult patients (2008). However, due to the saturations being in the lower range, it is advised that the saturation probe stays on the patient’s finger. This would be as a precautionary measure in case she becomes hypoxic (Henderson, 2014).

Rationale: Correct Answer is 1 - Arterial blood gases measure the pH, oxygen and carbon dioxide in arteries and gives us important information regarding the patient’s gas exchange and acid-base status (McCance & Huether, 2015, p. 1243). Measuring intake and output is an important process throughout the patient’s entire hospital stay. Prior weaning attempts do not have any importance to a current weaning

These data revealed that a simple procedure, such as milking the umbilical cord before clamping it, had a significant influence on the blood levels of the neonate and can help to prevent future interventions from becoming necessary. This intervention, which can be done right in the delivery room, can help improve the neonate’s quality of life.

When someone’s life decisions affect those around them, the state has permission to intervene in order to protect the public. Since the beginning of public health, medical professionals have struggled with the idea of people being able to make their own decisions, but also wanting to protect the public. We are all given freedom of choice, but what if our choices impact someone else’s health? There are ethics that come into question when posed with a medical threat. If someone poses a threat to public safety, it is ok for mandatory vaccinations, name reporting and quarantine in order to protect the public (Jennings, B., Kahn, J., Mastroianni, A., & Parker, L. S., 2003, p. 145).

Increases in heart and respiratory rate can lead to increased oxygen consumption and caloric requirements, which will allow for fewer calories available for growth and healing. If stress continues, the initial increase in heart and respiratory rates will cease, and the infant can become bradycardic and apneic, which could lead to a possible hypoxic event and decreased pulmonary function. Premature infants are exceptionally vulnerable because their neurologic systems are still very immature and they cannot selectively limit stimuli or its physiologic impact. During noisy periods, apnea was found most frequently in very preterm babies, and oxygen saturation averaged 90 percent compared to 93 percent during quiet periods (Brown, 2009).

Having the opportunity to watch a child grow over this past semester was a real eye opener. I was able to see this particular infant hit a couple of developmental milestones for her age. My environment was the Infant B classroom having infants ages, 6 months to 12 months. My particular target child was almost one when I started analyzing her. Talking to the caregivers, I found that she was premature and has a twin brother. I was able to watch the infant go from not being able to eat off a spoon, only be able to sit in a bouncer and not being to crawl at all to being able to slowly each from a spoon, put one foot in front another while a caregiver holding her hands and become mobile crawling a way that benefits her.

It is the RCP’s job to ensure the baby is receiving sufficient amounts of oxygen. He or she may need to use either a ventilator, bubble CPAP, nasal cannula, or other forms of oxygen delivery to maintain adequate SPO2s and PaO2s. RCPs may also be required to run and monitor the devices delivering iNo and Flolan, as well as administering surfactant via endotracheal tube.

In the article, unplanned extubation (UE) is shown to be one of the complications that occur frequently with mechanical ventilation in neonates in the neonatal intensive care unit. This warranties the trial of other techniques such as Noninvasive ventilation (NIV). According to the author, this technique is only adequate for neonates that display adequate respiratory effort. In the article, a study was carried out to determine the effectiveness of NIV in providing ventilatory support in neonates with unplanned extubation as a result of the use of conventional ventilatory techniques. The study extended to establish instances that NIV failed to restore the condition in neonates.

I read your discussion post and wanted to take a minute to reply about your area of interest with developmental differences between premature and full term infants.

It is not clamped for 30-60 seconds so that blood ran through umbilical vein continues, shifting fetal blood from the placenta to the infant. As a result, with the cutting of the umbilical cord after birth, the placenta’s low resistance area fades and the peripheral resistance rises in the systemic circulation. The pO2 pressure in the aorta rises due to the blood being oxygenated directly in the baby's lungs. Three shunts in fetal circulation include ductus arteriosus, ductus venosus and foramen ovale. The ductus arteriosus and the foramen ovale both close typically when the newborn takes their first breath due to the opening of the lungs. Circulation bypasses the lungs and liver of the fetus due to them being

Children younger than school-age should have their assessments started at the feet, leading to the head. Children school-age or older should have their assessments done like that of an adult’s. Blood pressure will not be assessable for children under three years old. Perfusion can be accessed via the skin. Similarly, for children under three, EMTs can evaluate respirations by looking at the rise and fall of the abdomen. The child’s pupils should be looked at, and a pulse oximeter should be used. If an intervention is need, it is important to calm the child – communication is important with the parent and guardian as

The current study reported that low-dose oxytocin use is associated with reduction of neonatal umbilical artery pH and increase in base deficit without compromising the neonatal clinical condition or affecting Apgar scores.

Blood gas analysis may be performed to determine if high concentration oxygen therapy is needed (Bush & Thomson, 2007). The management of fever would be a part of care plan when the infant is febrile due to infection (Axton & Fugate 2009).