Describe the 4 methods of heat loss in infants and give an example on how to prevent each type.
Order Instructions
Please read the following case study details. Then respond to the questions below.
Setting
You are a nurse caring for women and children in a rural clinic. This clinic serves most of the area’s population and provides comprehensive women’s healthcare. This includes things such as: postpartum care, newborn care, lactation, and clients of all ages.
Introduction
Kristen has arrived at your clinic for Sawyer’s one week checkup and a postpartum check-in. Kristen’s ex-boyfriend is the father of the baby and continues to not want to be involved with the infant at this time until he can have a custody hearing.
Chief Complaint
Kristen states “My nipples are killing me, and breastfeeding is not going well! Sawyer looks a little yellow. Is that normal?”
Medical History
Chicken pox as a child. UTD on all immunizations. Tonsils removed 2013.
DOB: 12/31/2005
NKDA
Blood type: O negative
Rubella: Non-Immune
HIV: Negative
HSV: Denies
Hepatitis: Negative
Height: 5’7
Weight: 155 lbs.
G-1 P-1
Vaginal Delivery: 35 weeks 2 days
APGARS: 1 MIN: 7, 5MIN: 9
(1 off for breathing, 2 off for color)
Questions
Based on the chief complaint what additional assessments are needed and what do you think is going on?
Choose 4 of the newborn skin findings below and educate the patient on what this skin finding is, what causes it and interventions needed.
Lanugo
Millia
Erythema toxicum
Mongolian spots
Harlequin Sign
Mottling
Circumoral cyanosis
Acrocyanosis
Caput succedaneum
Cephalhematoma
Pathological jaundice
Nevus flammeus
Hemangiomas (stork bites/salmon patch)
Strawberry hemangiomas
Cold Stress in newborns:
Explain why and how cold stress occurs.
Describe what happens if left untreated.
Describe the 4 methods of heat loss in infants and give an example on how to prevent each type.
Jaundice in newborns:
What is the pathophysiology of this disease process in newborns?
What interventions are needed to fix this issue? How does our body conjugate the excess bilirubin?
What places this infant at risk?
Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Your initial response is due by Wednesday at 11:59 pm CT.
Estimated time to complete: 2 hours
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