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    Case Study 1

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    JM Punzalan
    This document contains three case studies describing newborn infants in the NICU: 1. A 36 week newborn delivered via NSD with a lusty cry but blue extremities transferred to the nursery for further care, likely classifying it as high-risk and requiring monitoring and support. 2. A 39 week newborn delivered via CS for fetal distress, initially cyanotic with slow heart rate and breathing but improving after resuscitation then having a seizure, indicating possible hypoxic ischemic encephalopathy from lack of oxygen during delivery. 3. A full-term newborn who develops jaundice on day 4 with a total bilirubin of 1mg/dL and type O+

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    Case Study 1

    Uploaded by

    JM Punzalan
    50 views1 page
    This document contains three case studies describing newborn infants in the NICU: 1. A 36 week newborn delivered via NSD with a lusty cry but blue extremities transferred to the nursery for further care, likely classifying it as high-risk and requiring monitoring and support. 2. A 39 week newborn delivered via CS for fetal distress, initially cyanotic with slow heart rate and breathing but improving after resuscitation then having a seizure, indicating possible hypoxic ischemic encephalopathy from lack of oxygen during delivery. 3. A full-term newborn who develops jaundice on day 4 with a total bilirubin of 1mg/dL and type O+

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    Case-Scenarios-NICU (1)

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    This document contains three case studies describing newborn infants in the NICU: 1. A 36 week newborn delivered via NSD with a lusty cry but blue extremities transferred to the nursery for further care, likely classifying it as high-risk and requiring monitoring and support. 2. A 39 week newborn delivered via CS for fetal distress, initially cyanotic with slow heart rate and breathing but improving after resuscitation then having a seizure, indicating possible hypoxic ischemic encephalopathy from lack of oxygen during delivery. 3. A full-term newborn who develops jaundice on day 4 with a total bilirubin of 1mg/dL and type O+

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    50 views1 page

    Case Study 1

    Uploaded by

    JM Punzalan
    This document contains three case studies describing newborn infants in the NICU: 1. A 36 week newborn delivered via NSD with a lusty cry but blue extremities transferred to the nursery for further care, likely classifying it as high-risk and requiring monitoring and support. 2. A 39 week newborn delivered via CS for fetal distress, initially cyanotic with slow heart rate and breathing but improving after resuscitation then having a seizure, indicating possible hypoxic ischemic encephalopathy from lack of oxygen during delivery. 3. A full-term newborn who develops jaundice on day 4 with a total bilirubin of 1mg/dL and type O+

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    NICU – CASE SCENARIOS

    CASE STUDY 1

    A 36 weeks baby weighing 1,500g was delivered via NSD. The newborn has a lusty cry, with a heart rate
    of 110 beats/min. His body is pink but his extremities are blue. The newborn has weak muscle activity
    but appears healthy after delivery. The infant is transferred to the nursery for further care.

    1. Should the newborn be classified as a well, high-risk or sick newborn? Explain your answer.
    2. Give at least 4 management for a high-risk newborn.
    3. Do high–risk newborns need immediate care?
    4. Would you expect the vital signs of a high–risk newborn to be normal or abnormal?

    CASE STUDY 2

    A 39 weeks newborn is delivered via CS after a diagnosis of fetal distress syndrome. The newborn is
    cyanotic, with a heart rate of 60 beats per minute and having a very slow and irregular breathing
    pattern. He does not react to irritation nor does any movement on 1 st minute after delivery.
    Resuscitation was made. After 5 minutes, the newborn’s body is now pink but still with blue extremities.
    The newborn’s heart rate of 98 beats per minute, cries poorly, no sounds but with facial grimace noted.
    The newborn appears lethargic and at 2 hours, he suddenly had a seizure. The blood glucose is normal.

    1. What is the probable cause of his seizure?


    2. What are the clinical manifestations of seizure in a newborn infant?
    3. What are the possible management for seizure at this moment?
    4. What medication can the doctor prescribe?

    CASE STUDY 3

    A full-term infant develops jaundice on the 4 th day and her total bilirubin level is 1mg/dL. Both the
    mother and the baby are Type O+. Her hemoglobin level is 18 g/dL and the Coomb’s test is negative.

    1. What is the probable cause of this newborn’s jaundice?


    2. Do you think the newborn’s jaundice is caused by ABO or hemolytic disease? Please explain.
    3. Does this newborn have hyperbilirubinemia? Explain your answer.
    4. As a nurse, how will you care for this newborn?
    5. Should this newborn receive phototherapy? Why yes or why not?
    6. Should the mother stop breastfeeding? Please elaborate on your answer.

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