Baby Nova is 24 hours old. She is full term, weighs 7 lbs 3 ounces, and is
Question:
Baby Nova is 24 hours old. She is full term, weighs 7 lbs 3 ounces, and is 22 inches long. She was born via spontaneous vaginal delivery after 12 hours of induced labor. Her mom had butorphanol tartrate (Stadol) for pain relief with the last dose two hours prior to birth. After 45 minutes with mom and dad she was taken to the observation nursery until her temperature stabilized. Her APGAR scores were 8 and 9. Admission notes included T 96.5 after 30 minutes of skin-to-skin, glucose 35, HR 110, RR 44, and color pink, sleepy and partially flexed. In the nursery she was given glucose gel per protocol for low blood sugar. After 30 minutes her vital signs were taken again: T 98.0, HR 120, RR 42, color pink, active and awake, BS 55.
Case Scenario
The mother received Baby Nova a two hours of age and attempted to breastfeed for the first time. The baby had difficulty taking the nipple and after 30 minutes of trying, the mother, now in tears, called the nurse for help. Upon entering the room the nurse finds the mother in tears, and the baby is sleepy. She states, "She doesn't want the breast. Look, even when I can get her awake she just turns her head away from me." She is attempting to direct the baby's head toward the breast. The baby's maternal grandmother is with her. She is encouraging daughter to give a bottle since she perceived that her daughter does not have enough milk. The father of the baby is also in the room and arguing with the maternal grandmother about giving a bottle saying that his wife wants to breast feed! This seems to make the patient even more distraught and she is still crying.
Noticing (Assessing) | Interpreting (Diagnosis) | Responding (Planning and Interventions) | Reflecting (On-Action & In-Action) |
Baby Nova is 24 hours old, full-term, with a weight of 7 lbs 3 ounces and a length of 22 inches.
She had a spontaneous vaginal delivery after 12 hours of induced labor, with her mother receiving butorphanol tartrate (Stadol) for pain relief.
Baby Nova's APGAR scores were 8 and 9.
On admission to the nursery, her vital signs showed a normal temperature, low glucose (35), heart rate (110), respiratory rate (RR 44), and good color.
Her initial temperature and glucose levels improved after 30 minutes of skin-to-skin contact.
The mother is in tears, and the baby appears sleepy and uninterested in breastfeeding. There's also a disagreement in the room between the maternal grandmother, who suggests giving a bottle, and the father, who supports breastfeeding.
| Baby Nova's hypoglycemia may be contributing to her sleepiness and reluctance to breastfeed.
The mother is experiencing emotional distress due to the difficulties in breastfeeding.
There is a conflict in the room between the maternal grandmother, who suggests giving a bottle, and the father, who supports breastfeeding.
| Address Baby Nova's hypoglycemia:
Support the mother:
Facilitate breastfeeding:
Address family conflicts:
Educate the family:
| Continuously monitor Baby Nova's blood sugar levels and her response to breastfeeding.
Continue providing emotional support to the mother and address any concerns or conflicts that arise within the family.
Reflect on the effectiveness of the interventions and adapt the plan as needed to ensure the best outcome for Baby Nova, considering both her immediate health needs and the emotional well-being of her mother.
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In this scenario, Baby Nova, a 24-hour-old full-term infant, was experiencing difficulties in breastfeeding. She had a history of hypoglycemia, which likely contributed to her sleepiness and reluctance to feed. The mother was distressed and sought assistance aSer her a]empts to breastfeed were unsuccessful. In the room, there was a conflict between the maternal grandmother, who suggested giving a bo]le, and the father, who supported breastfeeding.
Hypoglycemia: Baby Nova's low blood sugar levels were a significant concern. This medical issue can lead to lethargy and difficulCes with feeding, which could explain the baby's reluctance to latch onto the breast.
Emotional Distress: The mother was experiencing emotional distress due to the challenges of breastfeeding. This emotional state could further impact her ability to effectively breastfeed and bond with the baby.
Family Conflict: The conflict between the maternal grandmother and the father added an extra layer of stress to the situaCon. The disagreement on the choice of feeding method could exacerbate the mother's distress and negatively affect her breastfeeding experience.
Interven-ons: Responding to the situation, interventions were put in place to address these issues. These included addressing the baby's hypoglycemia, offering support and guidance to the mother in terms of breastfeeding, and resolving family conflicts through communication and education
Tanner's Model Concept Review/Care Planning Tool (need help answering these question)
What is the definition of the concept being reviewed (above)?
When looking at data related to the concept listed above; what key nursing assessments are important to make:
When thinking about the concept above what common interrelated concepts come to mind?
When thinking about the concept being reviewed (above) how might the assessments differ for people of different age groups (Lifespan considerations). Example if we are studying sexuality, how might your assessment differ for an adolescent or a woman of age 35 years?
Expert Answer:
Breastfeeding Breastfeeding is the act of feeding a baby with milk produced by the mothers breasts It is a natural process that provides numerous heal... View the full answer
Income Tax Fundamentals 2013
ISBN: 9781285586618
31st Edition
Authors: Gerald E. Whittenburg, Martha Altus Buller, Steven L Gill
