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A newborn was born with cephalohematoma after forceps delivery analysis

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  1. A newborn was born with cephalohematoma after forceps delivery. What should the nurse instruct the mother to observe for?

The clotted blood is usually absorbed slowly. As a result, cephalohematoma mass takes weeks to resolve. As this blood calcifies, the bulge is expected to feel harder. On some occasions, the edges take longer to disappear than the mass, thereby forming a crater-like appearance, and the parent should observe if this happens so during resolution.

  1. The newborn developed jaundice. Identify the clinical manifestations of a newborn diagnosed with jaundice.
  1. Yellow skin: if the baby’s skin becomes yellow rather than lighter than normal skin if the baby’s forehead or nose is gently pressed or not.
  2. Yellow whites: if the baby has whites turned yellow, the kid may have jaundice.
  3. The baby doesn’t feed properly or doesn’t gain weight.
  4. The baby makes high pitch cries.
  5. The baby seems sick or listless and sometimes challenging to awaken.
  1. What causes jaundice in the newborn?

Baby jaundice occurs more in infants born before 38 weeks gestation weeks and in some cases from breastfed babies. The disease usually is a result of excessive bilirubin in the baby's bloodstream. The infant's liver is not developed maturely enough to get rid of bilirubin in the bloodstream as quickly as needed. In some cases, it might result from an underlying disease.

  1. Describe the interventions to prevent and treat jaundice.

Infant jaundice usually resolves without treatment within one to two weeks. However, medicines such as blood transfusion or phototherapy might be vital if the baby has exceptionally high bilirubin levels; this might develop into kernicterus if ignored.

The condition can be prevented by adequate feeding of the baby that is 8 to 12 feedings a day for the first number of days of the baby's life. Avoidance of infections such as hepatitis can prevent the disease.

  1. Identify the complications associated with jaundice.

Kernicterus is a complication that can arise from jaundice, where the baby may have permanent upward gaze, hearing loss, and athetoid cerebral palsy.

  1. Question 2
  1. Compare the clinical picture each of these women is likely to exhibit during the assessment.
  1. In both cases, there is vaginal bleeding (antepartum hemorrhage) with pain.
  2. Both placenta previa and placenta abruption often occur in the third trimester.

 

  1. Identify two priority nursing diagnoses for both Sara and Jane.
  1. Ultrasound.
  2. Physical examination.
  1. Contrast the care management approach required by each for the woman related to her diagnosis and the typical medical management.
  1. Sara might need an ultrasound number of times to monitor the placenta's movement as it is likely to move upwards and away from the cervix as the uterus grows. On the other hand, Jane could only need the service once during the initial testing.
  1. Indicate the considerations that must be given top priority following birth for each of these women.

 

Sara

  1. Cesarean delivery will be needed in most cases.
  2. The pregnancy examination, overall health, and medical history might determine the kind of management necessary.

Jane

  1. The extent of the disease as severe blood loss may require a blood transfusion.
  2. Tolerance to labor, if not satisfactory cesarean delivery may be needed.

 

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