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Steps in the process of the newborn assessment
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At Wildcat Hospital, I performed my first newborn assessment on a baby. I walked into the postpartum room and greeted the mother and family and asked if I could (along with another student) perform and assessment on the baby for the second time. This assessment was different from the initial assessment I performed four hours previously, because the second time around I had more control of the assessment. I listened to the heart, lungs, and stomach. I assessed the newborn’s respirations, reflexes and temperature. After our assessment was over, I was able to swaddle the baby back up and hand the infant back into the arms of an excited new mother. My experience in the I was heart-pounding. The only experience I have had with newborn is the
His life began three weeks earlier than I was than he was expected. This was a result of me having high blood pressure, premature dilation of the cervix, and taking a late maternity leave. These problems led me to being on bed rest for the next two months after his birth. At the last prenatal check, Ivan was showing some signs of distress and the doctor decided to induce my labor. Ivan’s early arrival came on the 20th of August at 5:52 p.m. Ivan’s weight was around 5 pounds and had an Apgar score of 6. An Apgar score is the standardized measurement system that looks for a variety of indications of good health in newborns (Feldman, 2014). Some factors that are analyzed are the appearance, pulse, reflexes, activity, and respiration of the newborn to determine their good health (Feldman, 2014). Using this scale, nurses
meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work” (QSEN, 2017). The six QSEN competencies include patient- centered care, teamwork and collaboration, evidence- based practice, quality improvement, safety, and informatics. Two QSEN competencies that relate to MAS are safety, and teamwork and collaboration. The nurse needs to have the knowledge, skills, and attitudes regarding MAS to ensure the newborn’s safety. In order to keep the newborn safe, the nurse must have critical thinking skills to be able to recognize and communicate pertinent information, such as new
Saunders (2012) states that the treatment of a breech delivery requires the paramedic team to work simultaneously and efficiently to perform several interventions. He states that the paramedic team should undertake a primary survey and introduce themselves to the patient on arrival. From the initial patient contact, the paramedics should begin providing reassurance to the patient and their family, both verbally and non-verbally (Saunders, 2012). Reassurance aims to reduce patient anxiety, create a rapport with the patient and encourage an environment of care, respect and understanding (Pincus et al., 2013). The paramedic team should complete a secondary survey, including vital signs and a complete patient history, particularly pregnancy relevant
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).
At Cook Children’s Hospital, NICU parents are not only seen as the parents of the infants, but they also incorporate them as part of the team. Parents are highly encouraged to spend as much time as they possibly can with their premature infants, to have physical contact with them by giving them kangaroo time, which allows parents to have skin-to-skin contact with their infant, as soon as the infant reaches the stage in which he or she is a suitable candidate to be in physical contact with their parents. Siblings who are over 3 are allowed to visit their siblings at the NICU at specific times of the day, and child life specialists help siblings understand what is going on with their baby brother or sister who is in the NICU. If they have any specific questions, the child life specialist is there to assist them. Families are referred to other institutions that will be able to help them if their facilities aren’t able to fulfill their needs. One of the institutions that...
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
The child that I tested will be referred to as K.L. I tested her on April 14th 2016. K.L. is 2 years old, with her exact age being 2 years 9 months and 14 days. I called and asked her mother if she would mind dropping K.L. off with me for a few hours so I could perform the test, and then pick her back up after the test was complete. This test more accurate when the caregiver is not present. K.L. has a step sister and a baby brother on the way. She has always been in the daycare setting, because her grandmother is a provider. K.L. was delivered full term via planned cesarean section due to her mother’s small pelvis. There was no complications during this pregnancy. K.L. weighted 8 lbs. 4 oz. and was 20 ½ inches long at birth, now weighting in at ...
This particular class was conducted on a Saturday and covered the labor process, options for labor support, comfort measures, and breastfeeding. The class began with the discussion of the anatomy and physiology of an expecting mother. Then progressed to the stages of labor. Furthermore, the complications of delivery and pregnancy were discussed, this took approximately four hours. Lunch was at noon and piloted for thirty minutes. After lunch, comfort measures were reviewed, for about two hour. A forty-five minutes natural childbirth video was played that incorporated the Lamaze techniques. Then the instructor had the mother sit on the floor on yoga mats to practice the recommended breathing techniques for approximately thirty minutes. The final hour was dedicated to breastfeeding and questions the students
As I walk thru the doors of Floyd Medical Center, I look back at all I've accomplished. How far I have come from that shy girl in high school to an outgoing and friendly registered nurse. Walking down the hallway to my boss’ office, I feel a sense of relief. I'm finally finished with college and on to the start this new chapter of my life. Becoming a neonatal nurse has taken a long time but I know in the end it will all be worth it.
...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).
For decades newborns have gone through screening and assessments to determine where they are health wise after birth. The screening and assessments not only worry about the immediate moment, but also look for possible presence of disorders that could affect the newborn in the future. There are a number of different assessments and scales used after a newborn is born. The neonatal assessments and scales range from assessing behavior to determining whether there is a possible medical condition that could arise later in life for the infant. The screening and assessments are necessary, even if not all of them are completed there are some that will be done automatically after birth.
V. The infant was placed on the heating mattress to maintain his body temperature. A pulse oximeter and cardioscope in place to check oxygenation and to monitored infant’s
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).
For the infant you need to: Shout their name and gently tap the infant on their shoulder. DO not shake or if you do shake a little, DO NOT shake hard. You could kill the baby. If there is no response from your shout and gentle tap then position the baby on their back. (This is so that you can see if the baby's breathing.) The next step is to open the airway by using a head tilt, lifting of the chin. DO NOT tilt had back too far! You could break the baby's neck and then you wouldn't be saving it anymore. Step 3 is to give two SMALL gentle breaths into the baby's mouth, but only if the baby's not breathing. You HAVE to cover the nose and the mouth of the baby. That is IMPARITIVE. There are no ands, ifs, or buts about it. The small breaths that you gave should be 1.5 to 2 seconds long. You should see the infants chest rise with the breathing that you put in. Step 4 is when you need to feel for a pulse. Try to feel for the pulse in the inside upper arm, it's easier that w...
The two children that I have interacted with this week at the Early Childhood Education Center from the Willows group is Emily and Harriet. I got a chance to interact with these two girls this week. They are both so much fun to play with and be around. With Harriet, we played in the dirt box and played with the musical instruments. We also played with her stuffed little gray and white cat and a toy tiger. With Emily, we played doctor and played in the kitchen area. Together Emily and I played nurse and doctor to make her little baby feel better and got to play dress up with it. We also played some in the kitchen to make food for the baby as well. From what I have learned from Harriet and Emily is that they have two different personalities.