Case Study   A woman diagnosed with gestational diabetes delivered a 7-pound 2-ounce male at 36 weeks after spontaneous rupture of membranes without complications at 0532.  APGARS were 8/8. The mother states that the neonate successfully breastfed for thirty minutes right after birth. Nurses’ Notes 0900: Upon rounding with the pediatrician on the perinatal unit, a nurse notes the newborn is demonstrating fast and shallow breathing, grunting, nasal flaring, chest retracting, and skin color dusky.  The mother states she tried to breastfeed, but the baby did not seem to be interested and is sleeping soundly. The neonate has yet to void or stool.   0910. Blood glucose 34 mg/dl. Newborn is lethargic with poor muscle tone. Passed meconium.  Auscultation of the lungs reveal inspiratory crackle and expiratory grunting. Vital Signs Time 0900 0910 Temp 97F 97F HR 156 160 RR 76 76 B/P 70/35 N/A Pulse oximeter 91% on RA 90% on RA Pain 0 0 Orders: CBC with differential Metabolic panel Arterial blood gases Blood cultures  Meconium for toxicology Chest x-ray  Oxygen via hood   Laboratory Results     Lab Results Reference range ABG pH 7.25 7.35-7.45 ABG P02 58 60 -70 mm Hg ABG PC02 52 35-45 mmHg ABG SaP02 88 95-100% ABG HC03 17 22-26 mEq/L Glucose 34 40-60 mg/dl Hematocrit 53 Newborn 46-68% Hemoglobin 18 g/dl Newborn 15.2-23.6 g/dl WBC 10 9.1 – 30.1 x 103 cells/mm3 Blood type O+   Diagnostic Reports   Echocardiogram no congenital heart defect noted. Chest x-ray hypo aeration- ground glass pattern Fill in the blanks  Make sure to use the exact wording of the choices below The condition the newborn is most likely experiencing is_______________ and the focus of nursing management is ____________. Choices for 1st blank are:  Neonatal abstinence syndrome Neonatal septic shock Respiratory distress syndrome _______ Make sure to use the exact wording of the choices below Choices for 2nd blank are: supportive care early surfactant administration early identification of infection  _______

A postpartum patient delivered vaginally 10 hours ago. She has saturated two peri-pads during the past hour. Her vital signs are stable, uterus is firm at the level of the umbilicus. The bleeding is most likely related to which of the following:

A newborn is admitted with a diagnosis of transient tachypnea of the newborn (TTN). When planning care for this newborn, which of the following is a priority nursing goal?

Match the birth control method with the relevant nursing education.

The most common diagnostic tool/assessment used to diagnose choanal atresia in the newborn is:

Case Study   A woman diagnosed with gestational diabetes delivered a 7-pound 2-ounce male at 36 weeks after spontaneous rupture of membranes without complications at 0532.  APGARS were 8/8. The mother states that the neonate successfully breastfed for thirty minutes right after birth. Nurses’ Notes 0900: Upon rounding with the pediatrician on the perinatal unit, a nurse notes the newborn is demonstrating fast and shallow breathing, grunting, nasal flaring, chest retracting, and skin color dusky.  The mother states she tried to breastfeed, but the baby did not seem to be interested and is sleeping soundly. The neonate has yet to void or stool.   Vital Signs Time 0900 Temp 97F HR 156 RR 76 B/P 70/35 Pulse oximeter 91% on RA Pain 0   Which findings require immediate follow-up? Select all that apply.

Which of the following is an abnormal finding in a Day 2 postpartum woman?

The following data is documented on the mother’s labor and birth record. Which is most predictive of neonatal risk?

Once Siddhartha passes through the previous three stages he reaches enlightenment. At this moment he become the Buddha.

The Eightfold Path is often divided/grouped into three categories.  Match the categories with each part of the path.