According to William’s Obstetrics Twenty-Second Ed. Cunningham, F. Gary, et al, Ch. 28., the one minute APGAR assessment provides information about the baby’s physical health, and helps the physician determine if immediate or future medical treatment will be required. The five-minute assessment measures how the baby has responded to previous resuscitation attempts, if such attempts were made. APGAR scores range from zero to two for each condition with a maximum final total score of ten. At the one minute APGAR, scores between seven and ten indicate that the baby will need only routine post delivery care. Scores between four and six indicate that some assistance for breathing might be required. Scores under four can call for prompt, lifesaving …show more content…
The blood clotting factors are there in normal numbers at birth, but not activated fully due to low levels of Vitamin K. If we do not have enough Vitamin K, then we cannot activate these molecules. So a Vitamin K deficiency makes our blood less able to clot. For the most part, our bodies can continue to clot appropriately with low Vitamin K levels. However, as the levels get lower and lower, we can suddenly reach a point where our bodies can no longer clot and we start to bleed spontaneously. The level that you have to get down to for bleeding to start varies from person to person. When the bleeding will occur is completely unpredictable (Shearer 2009). According to Dr. Colin Tidy (2016), the newborn and infant physical examination (NIPE) is increasingly done by NIPE-trained midwives in many hospitals, with much lower numbers being done by paediatricians. The examination may be performed by a GP and primary care team following home births. The recommended recording of the examination is now electronic. A paper copy of the electronic record is printed and attached in the red book for the parent’s
Thrombocytopenia affects 6% to 10% of all pregnant women and, other than anemia, is the most common hematologic disorder in pregnancy (McCrae, 2010). The blood consists of three main ingredients: red blood cells, white blood cells, and platelets. Each plays an essential function to provide the human body with elements and protects the body against any exterior viral and infection. Platelets are responsible to help blood to clot. The deficiency or disorder of platelets lead to disease called Thrombocytopenia. This issue is diagnosed when platelets are less than 150,000 platelets per microliter of blood (Erkurt, et. al, 2012).
Physician Assistant is a career choice that entails various specialties and flexibilities that attracts many. Those who desires a path to practice medicine as soon as possible, PA 's lateral mobility allows that to happen. Compared to medical school, PA school requires less time and amount less debt. As the population grows and chronic diseases spreads, The future projection of PA is growing faster than the average careers.
Kirwan Hospital for Women has the only Level III neonatal unit outside of Brisbane. KHW serves a diverse community in a sparsely populated area one-tenth the size of the United States, so the staff must go out and retrieve th...
The child that I tested will be referred to as K.L. I tested her on April 14th 2016. K.L. is 2 years old, with her exact age being 2 years 9 months and 14 days. I called and asked her mother if she would mind dropping K.L. off with me for a few hours so I could perform the test, and then pick her back up after the test was complete. This test more accurate when the caregiver is not present. K.L. has a step sister and a baby brother on the way. She has always been in the daycare setting, because her grandmother is a provider. K.L. was delivered full term via planned cesarean section due to her mother’s small pelvis. There was no complications during this pregnancy. K.L. weighted 8 lbs. 4 oz. and was 20 ½ inches long at birth, now weighting in at ...
The first five years of a child's life are the most important for laying the foundation skills which will see them through to adulthood. In order to give children a positive start to life health visitors can offer advice and support by using the Healthy Child Programme (HCP) which can take place within a home or community environment. This programme offers families a range of services including screening, developmental reviews and support on parenting and making healthy decisions. Health visitors have the skills to identify children who may not be meeting their developmental milestones and refer them onto other services to meet their needs. They can also recognise and support safeguarding issues within a family. Although most people found these services to be beneficial a study conducted by Knott and Latter (1999) claimed that some mothers felt the services they ...
With the increase in the different methods of determining if a patient is on the brink of PPH, reducing the mortality rate should be much easier than ever before. Current methods such as QBL and EBL are being utilized to determine if a patient is hemorrhaging. Multiple factors should be taken into account such as the volume of blood loss, patient’s vital signs, and general appearance should guide the interventions in recognizing and managing PPH. Interventions include the use of uterotonics, blood transfusions, and crystalloid infusions. Additionally, tranexamic acid can be administered prophylactically. Early recognition and management increase the chances of survival of the subject (Glymph,
When starting off the day I did use the 60 second assessment tool to ensure there were no abnormalities with my patient. I looked for any IVs the patient many of had, there was one but no fluids were attached. I also looked for urine output from the patient because the patient did have a catheter in place. I also checked to ensure safety precautions were in place because the patient was a fall risk, the reason why he was here in the first place. I think this tool can for sure help to pick out the priorities of your patient with just a quick glimpse.
At Wildcat Hospital, I performed my first newborn assessment on a baby. I walked into the postpartum room and greeted the mother and family and asked if I could (along with another student) perform and assessment on the baby for the second time. This assessment was different from the initial assessment I performed four hours previously, because the second time around I had more control of the assessment. I listened to the heart, lungs, and stomach. I assessed the newborn’s respirations, reflexes and temperature. After our assessment was over, I was able to swaddle the baby back up and hand the infant back into the arms of an excited new mother.
...e baby still seems to have too much fluid in his or hers mouth or nose, the nurse may do further suctioning at this time. At one and five minutes after birth, an Apgar assessment will be done to evaluate the baby's heart rate, breathing, muscle tone, reflex response, and color. If the baby is doing well, the mother and the baby will not be separated. The nurse will come in from time to time to change diapers, check the babies temperature, and perform other tasks while the baby spends time with his or her mother and father (B. C. Board).
For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the patients. At the moment the strategies most hospitals use in Durham Region are Video’s and Parenting Booklets that are primarily based in the English Language. In such a culturally diverse region this becomes a barrier to providing the health teaching to patients who do not speak English as a first language (ESL). This reflection will explore the challenges I faced when providing health teaching to an ESL patient as well as the importance of health teaching in the post-partum area.
To ensure good quality and coverage of health services, facilities can conduct self-assessment by analyzing and comparing the actual activities against plans made and targets. The analysis of quality of health services refers to quality of the best possibility treatment patients/clients receive. This requires the reference to the protocol and guidelines for standardized treatment. For example, the proportion of children under one get the correct vaccines at the right intervals. The analysis of coverage suggests the number of patients/clients receive a particular services compared to those who should have received it. For example, how many children under 1 year old are immunized?
Particularly, such tests are performed to examine immediate neonatal hypoglycemia on high-risk newborns, such as babies born with low birth weight, small for gestational age, large for gestational age, and asphyxia. Based on the current evidence-based practice, this kind of testing is not consistent in newborns and is prone to occurrence of sample or performance errors (NML/NIH, 2006). Even though there are some discrepancies, Accu-Chek is often used in NICU because it is a point of care test (POCT), requires small volume of blood, and the result can be obtained within 5-10 seconds. On the other hand, the Heel Stick is performed on newborns to measure BG levels and newborn screenings, which yield accurate readings by sending it to laboratory. According to Vedder, et al. (2015), the Heel Sticks are discouraged in newborn patients if there
Nursing and Midwifery Council (2008) The Code Guidelines for records and record keeping. London: Nursing and midwifery council
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
With advanced technologies such as this the acidity of the infant’s blood as well as the heart rate can be measured. New