Sanchez family. Margarite is 28-year-old G3P2 Hispanic woman who gave birth to a healthy boy, Manuel, at 0839. Margarite experienced an uncomplicated labor of 12 hours. Membranes ruptured 7 hours before delivery. She received 2 doses of nalbuphine (Nubain) during labor. The last dose was given at 0440.Manuel weighs 4800 grams and is 50 cm in length. His 1 and 5-minute Apgar scores were 8 and 9. Manuel is 2 hours old. The Ballard score indicates that Manuel is 39 weeks. Margarite attempted to breastfeed her son for 5 minutes on each breast immediately after the birth.Your initial postpartum shift assessment findings are:? Vital signs: oral temperature 98.9, apical pulse 80, respirations 22, BP 110/62? Alert oriented x 4? Lungs clear in all lung fields? S1S2 present, regular rate? B=lactating: soft non-tender? U= Fundus firm at Umbilicus midline? B= voided 150 ml clear yellow urine? B=Abd soft/nontender, bowel sounds active x 4, passing flatus, no BM since delivery? L=Small rubra lochia, no clots? E= Perineum intact? E= No edema to extremities and pedal pulses 2+? E= Mom holding newborn lovinglyYour initial newborn shift assessment findings are: ? Manuel is in a sleepy state and unresponsive to external stimuli? Vital signs: axillary temperature 97.1, apical pulse 100, respirations 30? Skin is warm and pink with acrocyanosis? Fontanels are soft and flat, Molding is present? Lung sounds are clear in all lung fields, mild nasal flaring? S1S2 present, no murmurs, regular rate? Abd soft/nontender, bowel sounds active x 4, no BM since delivery? No void since delivery, testes descending? Femoral pulses bilateral strong 2+? Spine straight, intact, no openings

Question Answered step-by-step You are assigned to the mother-baby couplet unit. Your assignment for the day includes the  Sanchez family. Margarite is 28-year-old G3P2 Hispanic woman who gave birth to a healthy boy, Manuel, at 0839. Margarite experienced an uncomplicated labor of 12 hours. Membranes ruptured 7 hours before delivery. She received 2 doses of nalbuphine (Nubain) during labor. The last dose was given at 0440.Manuel weighs 4800 grams and is 50 cm in length. His 1 and 5-minute Apgar scores were 8 and 9. Manuel is 2 hours old. The Ballard score indicates that Manuel is 39 weeks. Margarite attempted to breastfeed her son for 5 minutes on each breast immediately after the birth.Your initial postpartum shift assessment findings are:? Vital signs: oral temperature 98.9, apical pulse 80, respirations 22, BP 110/62? Alert oriented x 4? Lungs clear in all lung fields? S1S2 present, regular rate? B=lactating: soft non-tender? U= Fundus firm at Umbilicus midline? B= voided 150 ml clear yellow urine? B=Abd soft/nontender, bowel sounds active x 4, passing flatus, no BM since delivery? L=Small rubra lochia, no clots? E= Perineum intact? E= No edema to extremities and pedal pulses 2+? E= Mom holding newborn lovinglyYour initial newborn shift assessment findings are: ? Manuel is in a sleepy state and unresponsive to external stimuli? Vital signs: axillary temperature 97.1, apical pulse 100, respirations 30? Skin is warm and pink with acrocyanosis? Fontanels are soft and flat, Molding is present? Lung sounds are clear in all lung fields, mild nasal flaring? S1S2 present, no murmurs, regular rate? Abd soft/nontender, bowel sounds active x 4, no BM since delivery? No void since delivery, testes descending? Femoral pulses bilateral strong 2+? Spine straight, intact, no openings ASN OB Escape Room Pre-Sim AssignmentNewborn Questions1. Based on the above information, discuss the primary nursing diagnoses for baby Manuel2. Discuss the immediate nursing actions for baby Manuel. Provide rationales for your nursing actions3. Thirty minutes later you note that Manuel is jittery and exhibits signs of hypoglycemia4. List the signs and symptoms of hypoglycemia and related nursing actions. 5. Several hours later, Manuel’s father is present and holding Manuel. List signs of parent-infant bonding6. Discuss nursing actions that will support parent-infant attachmentPostpartum Questions1. Based on the above information, discuss the primary nursing diagnoses for Margarite Sanchez2. Explain BUBBLEEE assessment3. Where should the fundus be in the first 24 hours postpartum?4. When does the mother begin producing colostrum? breastmilk?5. When will the mother/baby be ready to breastfeed? (time frame) How long should the infant breastfeed on each breast?6. Is it normal for WBC to be elevated postpartum? Why or why not?   Health Science Science Nursing NSG 207 Share QuestionEmailCopy link Comments (0)

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