STUDENT NAME _____________________________________
interventions for NB who has a birth injury REVIEW MODULE CHAPTER ___________
DISORDER/DISEASE PROCESS __________________________________________________________ 27
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
birth injury occurs during childbirth resulting in ensure parent is well informed on
physical injury. Most injuries are how to care for child and injury
minor and resolved rapidly
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings proper handling of
-maternal age younger than 16 or older than -flaccid muscle tone of extremities suggest nerve plexus injury or long
bone fracture infant during
35 -fetal macrosomia -flaccid muscle tone can signal joint dislocation and separation during
-prolonged or precipitous labor birth healing phase to
-oligohydramnios -cephalopelvic disproportion -limited motion of an arm, crepitus over a clavicle, and absence of
Moro reflex on affected side are manifestations of clavicle are fractures ensure no
-external version -four sips or vacuum extraction
deformities will
develop.
Laboratory Tests Diagnostic Procedures
NA -CT Scan
-X-ray
-neurologic exam to determine paralysis
of nerves
PATIENT-CENTERED CARE Complications
Nursing Care Medications Client Education depending on type
of injury will
-review apgar scoring that may indicate a possibility
as prescribed if -educate on injury and
of birth injury
-frequent head to toe physical assessment management of injury
determine the type
-obtain vital signs and temperature necessary of complications
-administer treatment to newborn based on injury -perform parent newborn
and according to providers orders bonding that may occur
Fractures may not
heal properly.
Paralysis is
possible if nerves
Therapeutic Procedures Interprofessional Care
are involved
follow providers orders as depending on type of
it pertains to injury injury will determine
which care team will be
involved in care
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11