Question
Essentials of Maternity, Newborn, and Women's Health NursingChapter 18: Nursing Management of the Newborn 1. As a postpartumnurse your next client is an LGA baby
Essentials of Maternity, Newborn, and Women's Health NursingChapter 18: Nursing Management of the Newborn 1. As a postpartumnurse your next client is an LGA baby boy who was born at 37 weeks'gestation. He had Apgar scores of 8 and 9. He was circumcised. Themother is breast-feeding. Your unit requires a full assessment,screenings, discharge instructions, and documentation. (LearningObjectives 4, 7, 8, and 10) 1. Describe what a normal head-to-toeassessment would be for an infant born at 37 weeks' gestation. Whattest is used to determine this gestational age? What is the scaleused to determine the Apgar score, and are this baby’s scoresnormal? 2. As the discharging nurse, you are responsible for whatscreenings in an infant in the first 24 to 48 hours? Whatimmunizations would be required? 3. What discharge instructionswould be pertinent to this mother? How would you educate her or thefamily? 4. How would you document your discharge teaching? Write asample narrative of your teaching. 2. You are the newborn nurserynurse and have been called to the labor and delivery suite toattend the delivery of a G5P4 mother whose pregnancy wascomplicated by gestational diabetes. At 2032 a male infant weighing8 pounds 2 ounces was delivered vaginally with the assistance of avacuum extractor. You have assigned Apgar scores of 7 and 9.(Learning Objectives 2, 3, 5, 6, and 8) 1. Relate the assessmentsyou need to carry out in this immediate postdelivery time period.2. Describe the nursing interventions you will perform before thebaby is taken to the newborn nursery. 3. After taking the baby tothe newborn nursery, you notice that the baby has developed diffuseswelling and bruising on the occiput of his head from the vacuumextractor use. Discuss how you would differentiate between acephalhematoma formation and caput succedaneum development. Whichone is more serious? When the baby is 6 hours old, you notice
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