List the signs and symptoms of hypoglycemia and related nursing actions.
List the signs and symptoms of hypoglycemia and related nursing actions.
Nubain during labor. The last dose was given at 0440. Manuel weighs 3,800 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 breastfed her son for 15 minutes on each breast immediately after the birth.
Your initial shift assessment findings are:
Vital signs: Axillary temperature, 36.2°C; apical pulse, 100 beats per minute; respirations, 30 breaths per minute. Skin is warm and pink with acrocyanosis. Fontanels are soft and flat.
Molding is present. Lung sounds are clear. There is mild nasal flaring. Manuel is in a sleep state and unresponsive to external stimuli.
- Based on the above information, discuss the primary nursing diagnoses for baby Manuel.
- Discuss the immediate nursing actions for baby Manuel. Provide rationales for your nursing actions.
Thirty minutes later you note that Manuel is jittery and exhibits signs of hypoglycemia.
- List the signs and symptoms of hypoglycemia and related nursing actions.
Several hours later, Manuel’s father is present and holding Manuel.
- List signs of parent-infant bonding.
- Discuss nursing actions that will support parent-infant attachment.
