1. Which action should the nursery nurse take first in caring for the infant? A) Dry the infant quickly with warm blankets. CORRECT Drying the infant is a priority to prevent evaporative heat loss. B) Use a scale to immediately weigh the infant. INCORRECT Weighing the infant can be delayed and another intervention done first. C) Apply a servomechanism temperature probe. INCORRECT Applying a temperature probe is a common procedure when using a radiant warmer; however, another action should come first. D) Cover the infant's head using a soft cap. INCORRECT Another action should be taken first. After clearing the airway and drying the infant, the nurse assesses that the infant is breathing and has a heart rate of …show more content…
D) Vaginal delivery. INCORRECT Another piece of reported information is more important. The infant's vital signs are temperature 97.8o F, heart rate is 136, irregular with soft murmur, and respiratory rate is 36. 7. Which action should the nurse take? A) Place the infant under a radiant heat source. CORRECT The infant should be placed under a radiant heat source to prevent further loss of heat during the transition period. The temperature usually stabilizes within 4 hours of birth. B) Stimulate the infant to breathe by stroking his feet. INCORRECT The respiratory rate is within normal limits, and stimulation is not needed. C) Notify the healthcare provider about the findings. INCORRECT This action is not needed at this time. D) Provide oxygen by tube or mask close to infant's nose. INCORRECT This action is not needed at this time. Further Assessment After an hour in the transitional care nursery, the nurse measures the infant's head and chest. 8. What action should the nurse take when finding that the head measures 35 cm and the chest circumference measures 33 cm? A) Notify the healthcare provider. INCORRECT This action is not required. B) Document the findings in record. CORRECT The head and chest circumference are within normal limits. C) Monitor for excessively wide sutures. INCORRECT This action is not required. D) Verify the findings with another nurse. INCORRECT This action is not
The newborn and infant physical examination, NIPE, is performed by a qualified NIPE practitioner (Department of Health, DoH, 2015; Public Health England, PHE, 2013), within the first seventy-two hours of an infant’s life. This screening consists of a head-to-toe examination of the infant, including, but not limited to: the heart; the eyes; and the hips. During the examination, the practitioner will take the time to promote good health and wellbeing of the infant, by teaching the family how to identify signs of a well and unwell infant (Someren, 2013). The intention of the examination is to assess whether the infant has any congenital abnormalities (DoH, 2015; PHE, 2013). The NIPE is a developmental examination which is replicated between six and eight weeks after the infant’s birth, to screen for congenital disorders that become prominent in their physiology within this time period.
* Ensuring the room temperature suitable for babies and children. Having a room that is the recommend temperature between 18 – 20C, will not only be comfortable but will help promote good health.
I and my colleague systematically assessed the patient using rapid assessment (ABCDE) and observation of vital sign. ABCDE mean assessing patient Airway, Breathing, Circulation, Disability and Exposure. Vital signs consist of blood pressure, pulse temperature, and respiration rate. They are essential basic observation that provides information on which clinical decisions are based and for identifying when any nursing or medical intervention is required according to Lina and Barbara (2008 p59).
Knowing what a neonatal nurse does for our newborn children will help us understand what exactly they do to them while they are not with us in the hospital room.
There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.
Ever since I was about 10, I was extremely interested in becoming a neonatal nurse practitioner. I love babies and love helping others so I figured this particular job could be perfect for me. A neonatal nurse practitioner means you provide care for newborns in need of specialized attention for about the first month of their life. These newborns are usually premature or very sick and the nurse practitioners are usually their primary caregiver. NNP’s are responsible for their patients, exercising judgment when necessary to assess, diagnose, and initiate medical procedures. Many tasks include monitoring specialized equipment, including incubators and ventilators. Providing education and support to patients’ families regarding neonatal, intensive
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time?
A baby was just born at 26 weeks gestation. Just over half the normal 40 weeks a baby should stay inside the mother. The baby is immediately whisked away and taken to be evaluated and prepared for a long journey ahead. Ever since I could remember babies and the nursery at the hospital have fascinated me. Whenever we would go visit a friend who had a baby, I would find myself peaking over the windows into the nursery. I have known for a while that working in the neonatal intensive care unit is what I want to pursue. Recently I have been looking into nurse practitioners and furthering my education beyond my BSN. Being able to care for these infants in the most critical stages of their life, and being able to provide them the support they need to survive outside the womb seems so satisfying . Neonatal nurse practitioners have years of education, deep history, detailed job description, high demands and some legal issues.
The demand for this level of neonatal nursing is decreasing because mothers and newborn babies are now more likely to stay in the same room together after birth. Level II nurses are much more in demand because premature and sick babies need constant attention. Level III nurses have the most intensive responsibilities, working in the NICU and monitoring seriously ill or premature infants around the clock. They check ventilators and incubators, make sure babies are responding well, and teach parents how to care for their infants properly.” Many Neonatal nurse work in the NICU. They give medical care to the babies that are at risk newborns. Neonatal nurse tend to care for 1-4 babies at a
Premature babies typically have underdeveloped respiratory systems and problems maintaining body heat, so they may be kept on a respirator or in an incubator. Although the neonatal period is the first month after birth, these nurses often care for children up to age 2 who have long-term medical issues. While their primary focus is the health of the babies, neonatal nurses obviously will spend a lot of time with anxious parents who are visiting their children in the NICU and must be able to calmly and clearly explain the babies illnesses and treatment, as well as involve the parents in their
Labor and delivery nurses not only get to assist in delivery, but they get to help care for babies after delivery. After birth, the baby’s umbilical cord must be cut. Typically, the father of the baby will cut the cord, but if the cord is wrapped around the baby’s neck, it can restrict blood flow and must be cut immediately (Winder). The doctor must take charge and free the baby from choking by cutting the cord as quickly as possible. The nurse must remain calm and be ready to quickly check the baby to make sure everything is looking healthy. They must check its heart beat, clean out its nose and mouth, make sure it is breathing normally, make sure it has all ten fingers and toes, and check the weight and length of the baby (What Can I Do Now? Nursing
NICU Nurses are responsible for care of infants who may be diagnosed with diseases, delivery complications and, the one we see most, prematurity. They develop nursing care plans and assess, plan, implement, and evaluate the effectiveness of treatments in these plans. On
Patient’s in the NICU are considered to be very tiny and fragile and immunocompromised due to their immature organ systems which can lead to many dangerous medical problems. Patricia W. Stone states “maintaining a safe environment reflects a level of compassion and vigilance for patient welfare that is as important as any other aspect of competent health care” (Stone, 2008). The patient’s safety should always be a top concerned for a nurse because in a health care facility the purpose is to heal the patient and get them on the road to recovery. Nurses must learn from the errors of the past and use their knowledge to improve the quality of nursing to the patients to ensure if errors do happen again that the use of evidence-based practices are put into place to improve their outcomes. According to Higher Quality of Care and Patient Safety, “Registered Nurses (RNs) are instrumental in achieving multiple care goals, including promoting infant health and clinical stability, maintaining the integrity and cleanliness of central catheters, and preparing families for their role in infant care and successful transition it home” (Lake, 2016). Nurses are reasonable for the education of the families of the patients to ensure that the best quality of care for the patient is maintained outside the hospital to ensure the best medical outcome for the infants.
The nurse’s primary goals were to provide continuous monitoring over patient’s weight, administer prescribed medications and provide teaching on purse lip breathing, using the incentive spirometer and living with COPD. In order
The nurse would want to ensure adequate nutrition for the baby and preventing aspiration or infection