First the nurse should explain what the Apgar score is. The Apgar score evaluates the physical condition of the newborn at one min after birth and again at five minutes after birth. The newborn receives a total score that ranges from 0 to 10 based on rating color, heart rate, respiratory effort, muscle tone, and reflex irritability. To break it down a little further there are five factors that are considered in the evaluation of the newborn. The mnemonic is used and it spells out Apgar. The breakdown is as follows: A is for activity (or muscle tone); P is for pulse; G is for grimace (or reflexes to stimuli); A is appearance (or color), and R is for respiration. The Apgar score is only for the immediate condition of the newborn it does not determine the future health of the baby. A score from 7 to 10 is normal but very rare for a newborn to receive a 10. Newborns the get a 4 to 6 will need immediate interventions, usually in the form of oxygen and respiratory assistance or in the form of suctioning if breathing has been obstructed by mucus. A low Apgar score provides a warning signal that the baby may have hidden problems. A score from 0 to 3 are unresponsive, pale, limp, or may not have a pulse with these newborns they would need resuscitation. So the …show more content…
Always make sure baby is always placed on the back when put in bed or anywhere they baby will be sleeping. And also make sure the baby is not put in bed with a lot of stuffed animals to prevent suffocation. Explain for the mother to feed on demand which should be about every two to four hours and not wait over five hours to feed the baby if they do not wake up during that time. Proper way to clean the umbilical cord area. Inform the parents that the cord will fall off between seven to 10 days. Tell the parents to keep the cord area clean and dry. Tell them they can use alcohol with a cotton swab around the cord to help dry it
During the 1700’s the Britain Colonist decided to declare war against Great Britain. The war began due to friction between the British colonists over the King's policies. The colonist eventually lost their patience and started a revolution. High taxes, and no religious freedom led the colonist to fight for self government.
The article draws attention to the limitations of age-equivalent (AE) scores in reporting the result of norm-referenced tests. Using a group study and the Peabody Picture Vocabulary test-III (PPVT-III), Emily Maloney and Linda Larrivee have built a strong argument against the use of AE scores. They provide ample information about the limitations of AE scores, as well as results that speech-language pathologists should not continue to use age-equivalence scores in reporting results of norm-referenced testing.
Cord clamping has long been practiced to occur immediately after birth of a neonate. There is much discussion and evidence based practice that shows improvements to health when we delay the clamping and cutting of the umbilical cord. Delayed clamping allows for more nutrient rich blood to flow to the infant’s body, which is going through shock at birth. Early clamping is generally done between 10 seconds after expulsion of the fetus to one minute , whereas delayed clamping ranges from two minutes until the cord finishes pulsating. The research collected will analyze early clamping and delayed clamping to see which practice is found to be healthier for mother and child.
Recently the guidance department of Boston Latin School has instituted a new policy that limits the number of Advanced Placement classes students can enroll in during junior year. Previously students after being granted a waiver could take a maximum of four AP classes. However under the new guidelines all juniors are restricted to three. This is unfair to students who seek to reach their full academic potential.
Mphahlele, R. R. (2007). Caring for premature babies - a clinical guide for nurses. Professional Nursing Today, 11(1), 40-46.
The journal associated with this organization is Advances in Neonatal Care. This information was established through the website and the Co- Editors ...
Neonatal nursing is a field of nursing designed especially for both newborns and infants up to 28 days old. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin”. Neonatal nurses are a vital part of the neonatal care team. These are trained professionals who concentrate on ensuring that the newborn infants under their care are able to survive whatever potential life threatening event they encounter. They treat infants that are born with a variety of life threatening issues that include instances of prematurity, congenital birth defects, surgery related problems, cardiac malformations, severe burns, or acute infection. Neonatal care in hospitals was always done by the nursing staff but it did not officially become a specialized medical field until well into 1960s. This was due to the numerous advancements in both medical care training and related technology that allowed for the improved treatment and survival rate of premature babies. According to the March of Dimes, one of every thirteen babies born in the United States annually suffers from low birth weight. This is a leading cause in 65% of infant deaths. Therefore, nurses play a very important role in providing round the clock care for these infants, those born with birth defects or other life threatening illness. In addition, these nurses also tend to healthy babies while their mothers recover from the birthing process. Prior to the advent of this specialized nursing field at risk newborn infants were mostly cared for by obstetricians and midwives who had limited resources to help them survive (Meeks 3).
John Steinbeck and Martin Luther King, Jr. (MLK Jr.) have both gone down in American literature as some of the most influential authors, but why? Steinbeck was an influential author throughout the 20th century with pieces in many genres. On the flip side is Martin Luther King, Jr., a civil rights leader in the fight against racial discrimination. In order to gain a deeper understanding of the style of these two authors, it is necessary to compare them on the bases of repetition, tone, and purpose.
Thousands of students around the country and around the world will be preparing for the SAT and ACT tests while trying to maintain a high GPA. These tests will potentially have a significant impact on students lives. Some will be taking these tests for the second or even third time to get that 1500 out of 1600 or that 33 out of 36, that they long desire.
There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.
...e baby still seems to have too much fluid in his or hers mouth or nose, the nurse may do further suctioning at this time. At one and five minutes after birth, an Apgar assessment will be done to evaluate the baby's heart rate, breathing, muscle tone, reflex response, and color. If the baby is doing well, the mother and the baby will not be separated. The nurse will come in from time to time to change diapers, check the babies temperature, and perform other tasks while the baby spends time with his or her mother and father (B. C. Board).
I have always set big goals, and had even bigger dreams. However, these dreams aren’t like those of some of my classmates such as becoming a movie star or a famous soccer player, but ones of curing cancer and providing the world with answers to scientific phenomena. Should the Gatton Academy provide me the chance to take the next step toward fulfilling these dreams, very little would prevent me from attending.
The election night of 2000 was a pivotal moment in my life. I stayed up all night on November 7th, 2000, not because I was enthralled with watching Florida flip-flop between Gore and Bush, but because I had an IV in my arm which made it impossible to be comfortable. Earlier that evening, I was diagnosed with Type One Diabetes, a disease affecting 1 of 800 people in America. This was an especially crucial time in my life, considering I was diagnosed with Ulcerative Colitis—an autoimmune disease that attacks the GI track in 1 of 1400 Americans—the June before, and I had my Bar-Mitzvah in September. According to the Jewish religion, I had become an adult, and as such, I had decided to greet my new medical challenges with gusto, attempting to see the silver lining from the very beginning. I cannot say that I am glad I was nature’s statistical anomaly, but I am thankful for the opportunity to see from a young age how to turn a tough situation into a positive. After almost nine years, I come back to this pivotal night in my life because it marked a change that still plays a part in my life now, and will continue to shape me in the future.
The deficiency of IgA (immunoglobin A) is known as the prominent immunodeficiency as compared to the other existing immunoglobins. It has been discovered that many of the individuals who are diagnosed with this specific type of immunodeficiency are most often unintentionally diagnosed when they are being treated for several symptoms at the same time. IgA (most plentiful isotype) is produced in two different subclasses. The functions of both are not evidently understood. IgA as secretions seems to be in relationship with the prohibition of pathogens in the body and upkeep of homeostasis in the intestines. IgA deficiency is a flaw in the maturation of B cells where B cells have a deficiency in the ability to be able to yield IgA. Mutations linked to this defect are mutations in calcium modulator, transmembrane activator, and cyclophilin ligand interactor gene. Thus, expanding the knowledge basis of the functions and production process of IgA is essential in attempting to study IgA deficiency.
Unlike vaginal birth delivery, the process of a cesarean delivery is quite different, but just as safe as giving vaginal birth (Taylor, 1). When delivering a baby using the cesarean method, there are two ways anesthetic can be used. The women can be put into an unconscious state using the anesthetic, therefore she will be asleep during the entire operation and her coach may not be present. The other way for the anesthetic to be used would be in an epidural or spinal block to temporarily numb the woman from her waist down. In this case the mother will be awake and her coach may be present to give her extra support. Once the anesthetic is working, an incision is made in the abdomen either horizontally or vertically, depending on the reason for the cesarean delivery. A vertical incision is made when the baby is in trouble and needs to be out as quickly as possible, when there is more time the horizontal incision is used. The baby is then lifted out of the uterus and gone for the APGAP procedure. The placenta is then removed and the mother’s reproductive organs are examined before closing the incision (Taylor, 1).