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Elijah Williams- Scenario 5 - THE CORRECT ANSWER-Ensure the child is not
having a reaction
Provide documentation to the mother regarding today's vaccines
Remind the mother to call if she has any further questions or
concerns
Provide the child with a sticker, with the mother's permission
Ask the mother to schedule the 5-year-old checkup before leaving
Baby Strickland - THE CORRECT ANSWER-Alteration in thermoregulation
Hypoglycemia
Ineffectual breathing pattern
Baby Strickland - THE CORRECT ANSWER-Educational- increased
Health- increased
LOC- normal Pain-
normal
Psych- normal
Safety- increased
,Baby Strickland- Scenario 2 - THE CORRECT ANSWER-Position baby in
trendelenburg
Suction excessive secretions via bulb syringe and NG tube
Place under oxy hood at 40%
Initiate IV D5 1/4 NS at 6ml/hour
Reassess respiratory system
Baby Strickland- Scenario 3 - THE CORRECT ANSWER-Assess vital signs
Wrap baby in warm blanket and put hat on baby's head
Reassess temp in 15 minutes
Place baby in radiant warmer
Educate parents on neonatal heat loss
Baby Strickland- Scenario 1 - THE CORRECT ANSWER-Obtain heel stick
blood glucose level
Feed baby 1/2 ounce formula
Notify lab for confirmation blood glucose level
Recheck blood glucose in 45 minutes
Continue to monitor
Baby Strickland- Scenario 4 - THE CORRECT ANSWER-Place infant in
isolation radiant warmer
Obtain ordered blood cultures
, Initiate IV Ampicillin per MD order
Reassess blood glucose
OG feed infant 15 ml infant formula
Madelyn Harrison - THE CORRECT ANSWER-Educational- increased
Health- increased
LOC- normal Pain-
normal
Psych- increased
Safety- increased
Madelyn Harrison - THE CORRECT ANSWER-Alteration in Nutrition
Ineffectual health management
Anxiety
Knowledge deficit
Baby Strickland- Scenario 5 - THE CORRECT ANSWER-Place infant in triple
phototherapy isolette
Place protective eye shields over the baby's eyes
Initiate the phototherapy treatment
Feed infant every 2 1/2 hours
Document number of voids and stools per shift