The nurse is caring for a 28 week gestation newborn that is…
The nurse is caring for a 28 week gestation newborn that is admitted to the NICU with Respiratory Distress Syndrome (RDS). What would the nurse educate the family on when it comes to the etiology of respiratory distress syndrome?
Read DetailsA 3-day-old neonate born at 39 weeks gestation to a mother w…
A 3-day-old neonate born at 39 weeks gestation to a mother with a history of supervised methadone therapy. Assessment findings: excessive high-pitched crying tremors when disturbed poor feeding due to uncoordinated sucking. The clinical team is utilizing the Modified Finnegan Neonatal Abstinence Scoring System (MNAXS). Despite optimizing non-pharmacological interventions (swaddling, low-stimulation environment, frequent small feedings), the infant’s scores remain consistently above 12. What is the pharmacological treatment of choice for withdrawal in newborns?
Read DetailsScenario: A 41-week gestation neonate is born via emergency…
Scenario: A 41-week gestation neonate is born via emergency Cesarean section for fetal distress. The amniotic fluid was thick and green. At 1 hour of life, the neonate is grunting, has significant intercostal retractions, and an increased AP chest diameter. The neonate is tachycardic (HR 175) and has a temperature of 97.2°F (36.2°C). Oxygen saturation is 88% on room air. Instructions: Complete the bowtie by selecting the one most likely condition the patient is experiencing, the two most appropriate nursing actions, and the two parameters the nurse should monitor to evaluate the patient’s status. Potential Nursing Actions Most Likely Condition Parameters to Monitor Administer exogenous surfactant Polycythemia Blood culture results Assist with endotracheal suctioning Meconium aspiration Work of breathing Initiate broad-spectrum antibiotics Respiratory Distress Gastric residual volume Maintain a neutral thermal environment Bronchopulmonary Dysplasia Oxygen saturation levels Prepare for immediate chest tube insertion Transient Tachypnea Daily weight The most likely condition _____________________. (pick one) The two most appropriate nursing actions are ___________________. (pick two) The two parameters the nurse should monitor to evaluate the patient’s status. (pick two)
Read DetailsPlease select the potential condition from the choices liste…
Please select the potential condition from the choices listed, the actions to take, and the parameters to monitor from the choices listed. The nurse is caring for a 34 week gestational age newborn. APGARS 4 at 1 minute of age and 4 at 5 minutes of age. Vital signs are apical pulse 150 bpm, respirations 77 breaths per minute. Temperature is 37.0 C (98.6F). O2 saturation is 90% room air. On assessment the newborn is tachypneic, grunting, retractions, and nasal flaring noted. What is the potential complication? (Select one from the list below) ______________. What two priority actions should the nurse take? (Select two from the list below ____________. What priority parameters would the nurse monitor? (Select two from the list below __________. 1. Potential Condition Neonatal Abstinence Syndrome Neonatal Sepsis Respiratory Distress Syndrome Congenital Heart Disease 2. Actions to take Administer Antibiotics Arrange cardiac consult Administer Oxygen and intubate if needed Administer narcotic Administer surfactant 3. Parameters to monitor Monitor temperature Monitor Arterial Blood gases (ABGs) Monitor Oxygen saturations Monitor neonatal abstinence score Monitor blood pressure
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