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?
- Why is the baby's blood type important?
- What interventions will be taken by the nurse given the baby's Coomb's positive status?
- 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?
- Is it normal that the baby has blue hands and feet?
- What are normal vital signs in a newborn?
- Which vital sign is most concerning in this baby?