Exam (elaborations)
HESI case study: Healthy Newborn Stacy Myers
- Course
- Institution
HESI case study: Healthy Newborn Stacy Myers
[Show more]
Content preview
HESI case study: Healthy Newborn Stacy MyersThe Nurse place the infant under a radiant warmer and starts to
dry him quickly.
1. What is the rationale for theses actions? Correct Answers
Convective heat loss from evaporation is reduced. (drying the
infant quickly and placing him under a radiant warmer reduces
heat)
2. Which action should the nurser take prior to drying the
infact's back? Correct Answers Inspect the back for possible
neurological defects . (To prevent harm while drying the
newborn, the back should always be inspected for possible
neurological defects, such as spinal bifida)
At 1 minute of age, the infant is alert and active, and has a
strong cry. He has a heart rate of 172 and a respiratory rate of
50. The infant's arms and legs are flexed, the color of his body is
pink, and the color of both feet is blue. The nurse continues a
physical assessment of the infant looking for normal and
abnormal findings.
3. Which APGAR score should the nurse assign? Correct
Answers 9
One point is deducted for acrocyanosis
, Heart Rate: absent = 0, slow (<100) = 1, Over 100 = 2
Resp Rate: absent = 0, slow/irregular = 1, good/crying = 2
Muscle Tone: flaccid = 0, some flexion of the extremeties = 1,
active motion = 2
Reflex Irritability: no response = 0, grimace = 1, cry = 2
Color: blue/pale = 0, body pink/extremeties blue = 1, completely
pink = 2
Upon inspection of the umbilical cord, which finding should the
nurse report to the healthcare provider (HCP) Correct Answers
One artery and one vein are present. ( Two arteries and one vein
should be present)
The Myers' baby's head is molded from the vaginal delivery.
Upon seeing the baby, Ms. Myers says "Oh, he is so beautiful,
but something is wrong with this head" Correct Answers His
head has been molded from delivery through the birth canal,
which is normal.
(Molding commonly occurs in babies delivered vaginally, and
the head will become more symmetrical over time.
The nurse checks the identification bands for both the baby and
the mother upon admission to the nursery. One ID number is
incorrect.
6. Which action should the nurse take to solve this problem?
Correct Answers Redo the identification band with another
nurse witnessing the process.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81531 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now