QUESTION: From the data given Formulate NURSING Care Plan (NCP) to the Premature newborn by age and by weight. DATA: A Multidisciplinary Care Map for a Newborn with Respiratory Distress Syndrome Mr. and Mrs. Harvey are the parents of a 34-week-old, 2-lb baby boy, born last night after a short, 4-hour labor. Family Assessment Family consists of two parents. Mr. Harvey works as a consulting engineer; Mrs. Harvey worked before pregnancy as a home decorator. Mr. Harvey was out of town on business so was not present for the infant's birth. Mrs. Harvey has not visited the intensive care nursery. She refused to sign the birth certificate because she could not decide on a name. She said, "I don't want to give him our favorite name because he might die." Mr. Harvey telephoned early this morning and acted more upset the baby was born than relieved the baby was receiving intensive care. He asked his wife, "What did you do to cause this?" Client Assessment Newborn, 5 hours old, delivered vaginally. Difficulty establishing respirations at birth. Resuscitated by the neonatal nurse practitioner and respiratory therapist and then transported to the intensive care nursery. Temperature 97.2° F (36.2° C). Bradycardic and tachypneic with grunting respirations. Sternal and subcostal retractions present. Skin pale and somewhat cyanotic. Chest x-ray with ground-glass appearance. Arterial blood gases (ABGs) reveal respiratory acidosis. Endotracheal (ET) intubation, mechanical ventilation, supplemental oxygen, and intravenous fluid therapy initiated.
QUESTION: From the data given Formulate NURSING Care Plan (NCP) to the Premature newborn by age and by weight. DATA: A Multidisciplinary Care Map for a Newborn with Respiratory Distress Syndrome Mr. and Mrs. Harvey are the parents of a 34-week-old, 2-lb baby boy, born last night after a short, 4-hour labor. Family Assessment Family consists of two parents. Mr. Harvey works as a consulting engineer; Mrs. Harvey worked before pregnancy as a home decorator. Mr. Harvey was out of town on business so was not present for the infant's birth. Mrs. Harvey has not visited the intensive care nursery. She refused to sign the birth certificate because she could not decide on a name. She said, "I don't want to give him our favorite name because he might die." Mr. Harvey telephoned early this morning and acted more upset the baby was born than relieved the baby was receiving intensive care. He asked his wife, "What did you do to cause this?" Client Assessment Newborn, 5 hours old, delivered vaginally. Difficulty establishing respirations at birth. Resuscitated by the neonatal nurse practitioner and respiratory therapist and then transported to the intensive care nursery. Temperature 97.2° F (36.2° C). Bradycardic and tachypneic with grunting respirations. Sternal and subcostal retractions present. Skin pale and somewhat cyanotic. Chest x-ray with ground-glass appearance. Arterial blood gases (ABGs) reveal respiratory acidosis. Endotracheal (ET) intubation, mechanical ventilation, supplemental oxygen, and intravenous fluid therapy initiated.
Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter5: The Therapeutic Approach To The Patient With A Life-threatening Illness
Section: Chapter Questions
Problem 5.3CS
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