The human infant is called a neonate who is less than 28 days old. (Potter, Perry, Ross-Kerr, & Wood, 2009, p. 333) The newborn goes through mostly reflex changes during this critical time which leads to bonding and deep attachments between the parents and the neonate during the first 28 days. The neonate I worked with was 18 days old, male, Muslim, goes by the initials MK and lived in a townhouse with his parents. During birth, the family requested as many female staff as possible due to religious reasons. Physical Changes After I got acquainted with MK, which I found difficult because of the way I held him and the absence of a motherly scent, I performed to the best of my ability an assessment based on the Apgar scale along with a physical assessment. MK’s weight was around 180 ounces and he was 58 cm in length with a head circumference of 33 cm. I asked about weight gain or loss patterns that the parents noticed. They replied nothing significant, just a slight drop in weight after a few days starting from delivery then steady weight gain. This can be attributed to fluid losses by respiration, urination, defecation, and low fluid intake. (Potter, Perry, Ross-Kerr, & Wood, 2009, p. 333) I also noticed that MK was using abdominal muscles for breathing at around 40 breaths per minute. His heart rate was around 130 bpm. His skin was a nice pink color; however, his parents mentioned he was bit yellow right after birth for a few days. This phenomenon can be attributed to an excess of bilirubin and the immaturity of the liver. MK received a 10 on the Apgar scale which measures Heart Rate, Respiratory Effort, Muscle Tone, Reflex/Irritability and Color of the body. Afterwards I tested for the presence of innate reflexes including: Mo... ... middle of paper ... ... the cues to its survival as I observed with MK and the deep bonding that was present between him and his parents. Works Cited Potter, P., Perry, A., Ross-Kerr, J., & Wood, M. (2009). Canadian fundamentals of nursing fourth edition. Toronto, ON: Elsevier Canada Weiss, R. Your Newborn's Reflexes - Caring for Your New Baby. In About.com. Retrieved Feb 24, 2010, from http://pregnancy.about.com/cs/newborns/a/aa061801a.htm. Umberto de Vonderweid, Marialisa Leonessa, Family centered neonatal care, Early Human Development, Volume 85, Issue 10, Supplement 1, Proceedings and selected abstracts from 1st International Conference on Clinical Neonatology Torino, Italy, November 2009, October 2009, Pages S37-S38, ISSN 0378-3782, DOI: 10.1016/j.earlhumdev.2009.08.009. (http://www.sciencedirect.com/science/article/B6T65-4XFXSTD-1/2/77dea0b0bcb26c5faf4cbd5cda1ca17b)
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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
Loiselle, C. G., Profetto-McGrath, J., Polit, D. F., Beck C. T., (2007). Canadian essentials of nursing research (2nd ed.) Philadelphia: Lippincott Williams & Wilkins.
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...
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