Rasmussen NUR2633 Module 5 Discussion Latest 2019 November
NUR2633 Maternal Child Health Nursing
Module 5 Discussion
Discussions
A/B
Complete
the discussion in Group A or B as assigned by the instructor and then respond
to the alternate group. All students are required to review all posts for
general knowledge. Keep in mind that you will earn points for your initial
discussion posts, as well as your responses. If you do not posts responses, you
cannot earn full credit. Refer to the Discussion Rubric on how points are
earned.
DISCUSSION
A
Group A
will complete the initial post. Group B will respond. You are called to the
room and find Michael 2 hours old has been very irritable and spitting up large
amounts of formula. He is very jittery. You do not know the maternal history
before coming into the room so you advise the mother that you would like to
return the baby to the nursery for an assessment and monitoring. In the medical
record you focus on prenatal history. You witness the baby having some
significant tremors. What would you suspect? Michaels VS are: T (axillary) –
36.0, RR- 70, HR- 166, he is very alert, irritable, and does not console
easily. Is moving constantly, and sucking very vigorous on the pacifier you provide
for comfort. You place the baby under the warmer and obtain what labs?
It is
determined that this baby is going through opioid withdrawal. Neonatal
Abstinence Syndrome requires close observation and scoring. Methadone may be
used. Neonatal Abstinence Syndrome Shows both the signs of withdrawal, scoring
and the nursing care of a baby with Neonatal Abstinence Syndrome.
Group B
Response
What is
your feeling and knowledge regarding breastfeeding this baby?
DISCUSSION
B
Group B
will complete the initial post. Group A will respond. Baby Leah had a very
traumatic vaginal birth. After a vacuum extraction for fetal heart rate tracing
changes and a resultant shoulder dystocia, Leah has a mild Erb’s palsy, some
facial and truncal bruising. Pediatrician has ordered physical therapy for the
palsy and the doctor expects routine care to be provided to her. In addition,
do not forget the education you must give to the new parents regarding this
injury. Due to the bruising there is an increase in bilirubin levels and some
behavioral changes occur with Leah. Please describe what is different and what
will you discuss with the family to ensure safety? The bilirubin level requires
phototherapy. What precautions must you take? What is essential to manage and
treat the elevated bilirubin in addition to phototherapy?
Group A
Response Phototherapy is discontinued at the hospital, but at home the parents
are encouraged to provide some ‘routine’ therapy for Hyperbilirubinemia. What
would you suggest? Do not forget routine discharge instruction for this parent.
Having Trouble Meeting Your Deadline?
Get your assignment on Rasmussen NUR2633 Module 5 Discussion Latest 2019 November completed on time. avoid delay and – ORDER NOW
