Please read the following case study details. Then respond to the questions below. Setting You are a nurse caring for women and children in a rural clinic. This clinic serves most of the area’s popula

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Please read the following case study details. Then respond to the questions below.

Setting

You are a nurse caring for women and children in a rural clinic. This clinic serves most of the area’s population and provides comprehensive women’s healthcare. This includes things such as: postpartum care, newborn care, lactation, and clients of all ages.  

Introduction

Kristen has arrived at your clinic for Sawyer’s one week checkup and a postpartum check-in. Kristen’s ex-boyfriend is the father of the baby and continues to not want to be involved with the infant at this time until he can have a custody hearing. 

Chief Complaint

Kristen states “My nipples are killing me, and breastfeeding is not going well! Sawyer looks a little yellow. Is that normal?”

Medical History

Chicken pox as a child. UTD on all immunizations. Tonsils removed 2013. 

DOB: 12/31/2005

NKDA

Blood type: O negative

Rubella: Non-Immune

HIV: Negative

HSV: Denies

Hepatitis: Negative

Height: 5’7

Weight: 155 lbs. 

G-1 P-1

Vaginal Delivery: 35 weeks 2 days 

APGARS: 1 MIN: 7, 5MIN: 9 

(1 off for breathing, 2 off for color)

Questions

  1. Based on the chief complaint what additional assessments are needed and what do you think is going on?
  2. Choose 4 of the newborn skin findings below and educate the patient on what this skin finding is, what causes it and interventions needed.
    • Lanugo
    • Millia
    • Erythema toxicum
    • Mongolian spots
    • Harlequin Sign
    • Mottling
    • Circumoral cyanosis
    • Acrocyanosis
    • Caput succedaneum
    • Cephalhematoma
    • Pathological jaundice
    • Nevus flammeus
    • Hemangiomas (stork bites/salmon patch)
    • Strawberry hemangiomas
  3. Cold Stress in newborns:
    1. Explain why and how cold stress occurs.
    2. Describe what happens if left untreated.
    3. Describe the 4 methods of heat loss in infants and give an example on how to prevent each type.
  4. Jaundice in newborns:
    1. What is the pathophysiology of this disease process in newborns?
    2. What interventions are needed to fix this issue? How does our body conjugate the excess bilirubin?
    3. What places this infant at risk?
  5. Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.

Please be sure to validate your opinions and ideas with citations and references in APA format.