NURS90079 Foundations in Neonatal Care

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Case history

Mary Smith presents in the Emergency Department of a regional hospital at 37 weeks' gestation, in established labor. She is not booked to birth at the hospital and does not live locally. She and her partner were visiting friends and had planned to drive home the next day. She has her antenatal records with her and is a diet controlled gestational diabetic.

Mary progresses quickly to second stage and begins pushing. After 1.5 hours, she is exhausted, and the obstetrician performs an episiotomy and instrumental delivery of a large male baby with an estimated birth weight of 4500g. He is floppy at birth but responds quickly to first response resuscitation techniques. He is admitted to the Special Care Nursery and has an initial temperature of 35.4°C and his first true blood glucose (TBG) is 1.3mmol/L.

Your task

Based on the case history respond to and discuss the following questions in relation to baby Smith's care:

  1. What factors may have impacted on Mary's labor and her baby's condition at birth?
  2. What nursing care would he receive in the first few hours of life?
  3. How could baby Smith's parents be involved in his care?

NOTE:

  • You must make at least one entry in the discussion board, but ideally you will offer opinions and follow through with discussing your points as fellow students engage in the
  • Limit your comments to 300 words or less. You may make multiple entries for each discussion.
  • Each entry submitted requires at least one reference to support your argument. Remember that you may choose to use your input on this discussion as part of Assessment Task 2.

Solution

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