OB HESI Case Studies

OB HESI Case Studies Healthy Newborn Ms. Stacy Myers is in active labor at 38 weeks gestation with an uncomplicated pregnancy. She is admitted to the birthing center on October 10th at 0830. After 9 hours of labor Miss Myers had a spontaneous vaginal delivery of an infant boy. 1. The nurse quickly place is the infant under radiant warmer and starts to dry him. What is the rationale for these actions? a. Convective heat loss from evaporation is reduced. Drying the infant quickly and placing him under a radiant warmer reduces the heat loss through evaporation and radiation 2. Which action should the nurse take prior to drying the infants back? a. Inspect the back for possible neurological defects. To prevent harm on drying the newborn, the back should always be inspected for possible neurological defects, such as spina bifida. 3. At one minute of age the infant is alert and active and has a strong cry. He has a heart rate of 172 and a respiratory rate of 50. The infants arms and legs are flexed the color of his body is pink and the color of both fee is blue. The nurse continues a physical assessment of the infant looking for normal and abnormal findings. Which APGAR score should the nurse assign? a. Nine 4. Upon inspection of the umbilical cord which finding should the nurse report to the healthcare provider? a. One artery and one vein are present. Two arteries and one vein should be present 5. The Myers baby’s head is molded from the vaginal delivery upon seeing the baby miss Myers says “oh he’s so beautiful but something is wrong with his head”. How should the nurse respond? a. His head has been molded from delivery through the birth canal which is normal. Molding commonly occurs in babies delivered vaginally and the head will become more symmetrical overtime 6. Miss Myers is offered the opportunity to breast feed. After securing a comfortable position for herself and the baby Miss Myers puts the infant to her breast. The baby latches onto the nipple and with some encouragement he begins to nurse. After a time of family interaction Ms. Myers is taken to the postpartum unit and the infant is transferred to the transition care unit. The nurse checked the identification bands for both the baby and the mother upon admission to the nursery. One ID number is incorrect. What action should the nurse take to solve this problem? a. Redo The identification bands with another nurse witnessing the process. Identification bands must be correct to ensure the safety and security of all hospitalized patients, especially newborns 7. Upon admission to the transition care nursery, the Myers babies auxiliary temperature is 97.4°F. what action should the nurse take? This study source was downloaded by from CourseH on 08-30-2021 02:41:30 GMT -05:00 This study resource was shared via CourseH