Decision Making Case - Patient with Neonatal Care
Based on your initial assessment of the neonate, which actions are appropriate within the first 30 seconds after delivery? -
ANS -Keep the baby at or above the level of the mother's uterus.
Dry the baby with clean towels, then wrap him in a warm blanket.
\Delayed cord clamping and cutting (DCC) has been found to have many benefits for the neonate. Which of the following
is among those benefits? - ANS -Increased blood volume
Lower risk of necrotizing enterocolitis
Lower risk of cerebral hemorrhage
\Exactly one minute has elapsed since delivery of the baby. Clay continues to work with Marcie as you reassess the
neonate. During your assessment, you note the findings shown in the ePCR sections. Based on these findings, what
Apgar score would be appropriate for the baby? - ANS -10
\It's now time to deliver the rest of the baby. What is the correct and normal sequence of actions when delivering the
baby's body? - ANS -Deliver the anterior shoulder followed by the posterior shoulder, and then support the baby with both
hands as the torso and full body are expelled. Securely support the head, neck, and body and grasp the feet to complete
the delivery.
\What do these findings indicate? - ANS -Marcie is in active labor with delivery imminent.
\What is your next course of action? - ANS -Assess for a nuchal cord.
\What should you do next? - ANS -Introduce yourself and Clay to Marcie, then ask Marcie about her estimated due date
and the duration and frequency of her contractions.
\What should your next course(s) of action be? - ANS -Administer oxygen via nasal cannula at 2 liters per minute.
Assist Marcie in getting into the McRoberts position
Based on your initial assessment of the neonate, which actions are appropriate within the first 30 seconds after delivery? -
ANS -Keep the baby at or above the level of the mother's uterus.
Dry the baby with clean towels, then wrap him in a warm blanket.
\Delayed cord clamping and cutting (DCC) has been found to have many benefits for the neonate. Which of the following
is among those benefits? - ANS -Increased blood volume
Lower risk of necrotizing enterocolitis
Lower risk of cerebral hemorrhage
\Exactly one minute has elapsed since delivery of the baby. Clay continues to work with Marcie as you reassess the
neonate. During your assessment, you note the findings shown in the ePCR sections. Based on these findings, what
Apgar score would be appropriate for the baby? - ANS -10
\It's now time to deliver the rest of the baby. What is the correct and normal sequence of actions when delivering the
baby's body? - ANS -Deliver the anterior shoulder followed by the posterior shoulder, and then support the baby with both
hands as the torso and full body are expelled. Securely support the head, neck, and body and grasp the feet to complete
the delivery.
\What do these findings indicate? - ANS -Marcie is in active labor with delivery imminent.
\What is your next course of action? - ANS -Assess for a nuchal cord.
\What should you do next? - ANS -Introduce yourself and Clay to Marcie, then ask Marcie about her estimated due date
and the duration and frequency of her contractions.
\What should your next course(s) of action be? - ANS -Administer oxygen via nasal cannula at 2 liters per minute.
Assist Marcie in getting into the McRoberts position
