What is aquameqhyton

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Reference no: EM133654200

Assignment:

Newborn History:

Baby boy Jeremiah was born 23 hours ago via spontaneous vaginal delivery (SVD) at 38 weeks and 2 days gestational age. He weighs 3,240 grams, APGARS were 2/7/8. Upon delivery the baby was given erythromycin ophthalmic ointment and aquamephyton IM. The mother requested further information prior to agreeing to the Hepatitis B Vaccine and HBIG. The baby's cord blood is sent to the blood bank and he is coombs positive, blood type A+.

Baby vital signs at this time are: T - 97.4, P- 124, R-36. The baby's hands and feet are notably blue and when stimulated, the baby has a vigorous, lusty cry. At rest, the baby is observed to be loosely wrapped in a t-shirt that is wet with formula and a soiled diaper; the baby is also noted have an extended moro reflex and appears "jittery" beyond what is normally expected.

Mom's History:

29 year old NKDA, G-1 P-1, Blood type A-, HbSag positive, rubella non-immune, HIV -, RPR -, Group Beta Strep (GBS) was detected in mom's urine prior to delivery, history of gestational diabetes, depression and anxiety, plans to bottle feed. Mom sustained a 3rd degree periurethral laceration at delivery. For support, she is married and has a supportive family and sister who live nearby

What is aquameqhyton and why is this administered to the baby?

  1. Why is the baby's blood type important?
  2. What interventions will be taken by the nurse given the baby's Coomb's positive status?
  3. Mom is Group Beta Strep (GBS) positive; what is GBS and who can it make ill? What prophylactic measures will be taken prior to delivery and why?
  4. Is it normal that the baby has blue hands and feet?
  5. What are normal vital signs in a newborn?
  6. Which vital sign is most concerning in this baby?

Reference no: EM133654200

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