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Rationalize the following actions or give the rationale of the ff actions.
Answer numbers 4, 5, 6
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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- Rationalize the following actions or give the rationale of the ff actions. DON’Ts1. Suctioning of newborn2.Removal of vernix caseosa3. Immediate cutting of cord4. Milking of the cord5. Bathing the newborn immediately6. Foot printingDO’s7. Inner canthus to other canthus application of Erythromycin ointment8. Skin to skin contact9. Initiation of breastfeeding10. Properly timed cord clamping/cutting of umbilical cord11. Rooming- in12. Exclusive BreastfeedingA woman is to receive RhoGAM at 28 weeks’ gestation. Which of the following actions must the nurse perform before giving the injection? A. Validate that the baby is Rh-negative. B. Assess that the direct Coombs’ test is positive. C. Verify the identity of the woman. D. Reconstitute the globulin with sterile waterDiscuss Why are vacginal suppositories like Neo-Penotran Forte / L are not allowed for young adults who are not sexually active?
- A 3-day-postpartum client questions why she is to receive the rubella vaccine beforeleaving the hospital. Which of the following rationales should guide the nurse’s response?1. The client’s obstetric status is optimal for receiving the vaccine.2. The client’s immune system is highly responsive during the postpartum period.3. The client’s baby will be high risk for acquiring rubella if the woman does not receive the vaccine.4. The client’s insurance company will pay for the shot if it is given during the immediate postpartum period.Can you make an Introduction (Overview and Summary) about the given Case Scenario with the Infant Patient with Small Gestational Age, Meconium Aspiration Syndrome and Respiratory Distress Syndrome. Case Scenario: Patient with Small Gestational Age, Meconium Aspiration Syndrome andRespiratory Distress Syndrome.Course in the Ward: You are taking care of patient Regina, a 35 year old patient gravida 3 withone live child and one abortion with 30 weeks pregnancy was admitted from outpatientdepartment of DDH. She was referred because of bronchial asthma and experiencing difficulty ofbreathing for 5 days and 2 days fever, she is a COVID-19 Suspect. Due to oversized baby andprevious LSCS (lower (uterine) segment Caesarean section) which was performed three yearsback for postdatism and failure of induction, she had delivered 4.1 kg female baby throughcaesarean section and her postpartum period was uneventful. Family ProfileRegina is married to Brian for almost 10 years now. She works at Vista…Hello, may I ask what can be the problems or foci in this PDAR from this case? 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 noted
- Can you make an Introduction (Overview and Summary) about the given Case Scenario with the Patient with Small Gestational Age, Meconium Aspiration Syndrome and Respiratory Distress Syndrome. Case Scenario: Patient with Small Gestational Age, Meconium Aspiration Syndrome andRespiratory Distress Syndrome.Course in the Ward: You are taking care of patient Regina, a 35 year old patient gravida 3 withone live child and one abortion with 30 weeks pregnancy was admitted from outpatientdepartment of DDH. She was referred because of bronchial asthma and experiencing difficulty ofbreathing for 5 days and 2 days fever, she is a COVID-19 Suspect. Due to oversized baby andprevious LSCS (lower (uterine) segment Caesarean section) which was performed three yearsback for postdatism and failure of induction, she had delivered 4.1 kg female baby throughcaesarean section and her postpartum period was uneventful. Family ProfileRegina is married to Brian for almost 10 years now. She works at Vista Mall…Case scenario:Client ERIC RAYMOND, 12 years old from CAA HOUSING, MANUYO DOS, Las Pinas City, was admitted in the hospital due to high grade fever for 4 days. Vital signs taken are as follows: BP 110/60, RR is 14, PR is 78 and Temp is 38.5. high grade fever Weight is 45kgs. Eric Raymond is known to have allergic reactions to eggs and seafoods but no known allergies to any medication. CBC / Platelet counts were requested laboratory test was done.Client Eric Raymond was admitted under the care of Dr. Rod Buenavista. Admitting diagnosis is Dengue Fever.Dr. Buenavista ordered the following. Start IVF of 1L of D5.09 NaCl to be infused for 8 hours. IVF started at 9amGive Acetaminophen 500mg q 4hrs.Repeat Platelet count after 8 hoursGive one common problem for client in Intravenous therapy and list 2 independent nursing interventions you can do to manage the problemCase scenario:Client ERIC RAYMOND, 12 years old from CAA HOUSING, MANUYO DOS, Las Pinas City, was admitted in the hospital due to high grade fever for 4 days. Vital signs taken are as follows: BP 110/60, RR is 14, PR is 78 and Temp is 38.5. high grade fever Weight is 45kgs. Eric Raymond is known to have allergic reactions to eggs and seafoods but no known allergies to any medication. CBC / Platelet counts were requested laboratory test was done.Client Eric Raymond was admitted under the care of Dr. Rod Buenavista. Admitting diagnosis is Dengue Fever.Dr. Buenavista ordered the following. Start IVF of 1L of D5.09 NaCl to be infused for 8 hours. IVF started at 9amGive Acetaminophen 500mg q 4hrs.Repeat Platelet count after 8 hoursCBC and Platelet Result:(attached picture)Give one common problem for client in Intravenous therapy and list 2 independent nursing interventions you can do to manage the problem. *
