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Baby Harris Physiological
Activity intolerance- true
Cardiac perfusion, decreased- false
Fluid volume, altered excess- false
Imbalanced nutrition- true
Impaired gas exchange- false
Risk for altered thermoregulation- true
Risk for blood glucose instability- true
Baby Strickland Hypoglycemia, risk for- true
Impaired gas exchange- true
Impaired skin integrity- false
Ineffective breathing pattern, risk for- true
Thermoregulation, risk for-true
Baby Harris Scenario 1
You are concerned about the baby four hours after birth because he is now exhibiting excessive
crying irritability, and has a high pitched cry. To confirm your suspicion that he is a drug
addicted baby, your treatment plan should include: 1. Attempt to obtain a maternal history
of prenatal drug exposure
2. Perform hair and drug testing
3. Consider opioids as first line of treatment
4. Consider Phenobarbital as second line of effective treatment
5. Obtain order for blood screening STD.
, Scenario 2
Initiate NAS protocol of morphine 0.5mg PO and Phenobarbital every 4 hours 1. Swaddle
baby tightly
2. Calculate dose and administer meds
3. Reassess vital signs every 1 hour
4. Reassess NAS score every 2 hours
5. Document findings
Scenario 3
Baby appears jittery, RR 75 Temp 97.4 HR 180 1. Place baby under radiant warmer
2. Assess BG via heel stick. BG is 34
3. Notify lab
4. OG feed baby 10ml formula
5. Reassess BG level in 15mins
Scenario 4
Baby starts grunting and exhibiting substernal retractions with respirations due to recent
diagnosis of patent duct arteriosus 1. Place O2 sensor on baby
2. Place oxyhood over baby
3. Initiate IV fluids
4. Administer inhaled nitrous oxide
5. Reassess vital signs
Baby Harris Physiological
Activity intolerance- true
Cardiac perfusion, decreased- false
Fluid volume, altered excess- false
Imbalanced nutrition- true
Impaired gas exchange- false
Risk for altered thermoregulation- true
Risk for blood glucose instability- true
Baby Strickland Hypoglycemia, risk for- true
Impaired gas exchange- true
Impaired skin integrity- false
Ineffective breathing pattern, risk for- true
Thermoregulation, risk for-true
Baby Harris Scenario 1
You are concerned about the baby four hours after birth because he is now exhibiting excessive
crying irritability, and has a high pitched cry. To confirm your suspicion that he is a drug
addicted baby, your treatment plan should include: 1. Attempt to obtain a maternal history
of prenatal drug exposure
2. Perform hair and drug testing
3. Consider opioids as first line of treatment
4. Consider Phenobarbital as second line of effective treatment
5. Obtain order for blood screening STD.
, Scenario 2
Initiate NAS protocol of morphine 0.5mg PO and Phenobarbital every 4 hours 1. Swaddle
baby tightly
2. Calculate dose and administer meds
3. Reassess vital signs every 1 hour
4. Reassess NAS score every 2 hours
5. Document findings
Scenario 3
Baby appears jittery, RR 75 Temp 97.4 HR 180 1. Place baby under radiant warmer
2. Assess BG via heel stick. BG is 34
3. Notify lab
4. OG feed baby 10ml formula
5. Reassess BG level in 15mins
Scenario 4
Baby starts grunting and exhibiting substernal retractions with respirations due to recent
diagnosis of patent duct arteriosus 1. Place O2 sensor on baby
2. Place oxyhood over baby
3. Initiate IV fluids
4. Administer inhaled nitrous oxide
5. Reassess vital signs
