1ST ROTATION PEDIA.p... PEDIATRIC WARD CASE NUMBER 1 Nursing Care of the Child with Physical or Developmental Challenge Chelsea is a newborn weighing 2.75kg (6.05 Ib) who was born with a cleft lip and palate. She is the second child of Mr. and Mrs. Jones. During rooming-in, Chelsea is brought to Mrs. Jones" room for the first time. The couple stares steadily and looks alarmed at the newborn's appearance. Mr. Jones walks back and forth from the bed to the corner of the room. Mrs. Jones places the newbom on bed while staring with teary eyes. She can't help herself from saying, "I am worried what will happen to my poor child. What have we done to her? Is there any way we can do to resolve her condition?" The physician explains to the parents the need for sequential repair of her cleft lip (cheiloplasty) ...
1ST ROTATION PEDIA.p... PEDIATRIC WARD CASE NUMBER 1 Nursing Care of the Child with Physical or Developmental Challenge Chelsea is a newborn weighing 2.75kg (6.05 Ib) who was born with a cleft lip and palate. She is the second child of Mr. and Mrs. Jones. During rooming-in, Chelsea is brought to Mrs. Jones" room for the first time. The couple stares steadily and looks alarmed at the newborn's appearance. Mr. Jones walks back and forth from the bed to the corner of the room. Mrs. Jones places the newbom on bed while staring with teary eyes. She can't help herself from saying, "I am worried what will happen to my poor child. What have we done to her? Is there any way we can do to resolve her condition?" The physician explains to the parents the need for sequential repair of her cleft lip (cheiloplasty) ...
Chapter2: Biological Foundations: Heredity, Prenatal Development, And Birth
Section2.3: Influences On Prenatal Development
Problem 8TY
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PEDIA WARD SCENARIO
Transcribed Image Text:11:53 l 19
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1ST ROTATION PEDIA.p... 0
PEDIATRIC WARD
CASE NUMBER 1
Nursing Care of the Child with Physical or Developmental Challenge
Chelsea is a newborn weighing 2.75kg (6.05 lb) who was born with a cleft lip and palate. She is
the second child of Mr. and Mrs. Jones.
During rooming-in, Chelsea is brought to Mrs. Jones' room for the first time. The couple stares
steadily and looks alarmed at the newborn's appearance. Mr. Jones walks back and forth from the
bed to the corner of the room. Mrs. Jones places the newborn on bed while staring with teary eyes.
She can't help herself from saying, “I am worried what will happen to my poor child. What have
we done to her? Is there any way we can do to resolve her condition?"
The physician explains to the parents the need for sequential repair of her cleft lip (cheiloplasty)
and palate (palatoplasty).
Questions:
1. What are the major problems you would address for Chelsea during her hospital stay?
Discuss your impression of the situation?
2. As a nurse, how are you going to respond therapeutically for the response of Chelsea's parents?
3. Discuss the standard of care for the surgical repair of the newbom's cleft lip and palate?
4. Discuss additional health problems for which patients with this condition is at risk and who
among the craniofacial team would address each issue?
5. Develop a discharge teaching plan for Chelsea and his parents related to his health condition.
6. What developmental stage does Chelsea belong? Based upon his developmental level, identify
one key teaching need and the best communication techniques to use with her. Provide rationale
for your choice of communication techniques.
7. Úsing the nursing process, identify three priority nursing diagnoses for Mica. Formulate a
nursing care plan based on the prioritized nursing problem.
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