Baby girl Polk is a newly delivered

Baby girl Polk is a newly delivered 32 weeks’ gestation neonate, who is admitted to the neonatal intensive care unit (NICU). Her mother, Mallory, is a 42-year-old African American single woman. Mallory is a G2 P0 who conceived after three attempts at in vitro fertilization. Mallory was admitted to the birthing unit for preterm labor. She was given magnesium sulfate, ampicillin, and two doses of betamethasone. Her labor contractions continued. When her cervix was 5 cm dilated, a decision was made to discontinue the magnesium sulfate. A few hours after the magnesium sulfate was discontinued, Mallory gave birth spontaneously to a baby girl. The 1- and 5-minute Apgar scores were 7 and 8, respectively. Baby Polk weighed 2,010 g and was assessed at 32 weeks, based on the Ballard score. 4 hours later: Baby Polk is on NCPAP. There is an increase in intercostal retractions and expiratory grunting. The results of arterial blood gas tests are Pco2 of 70 and pH of 7.2. CBC indicates an increase in white blood cells. Medical orders include initial dose of Survanta, IV of D10, glucose monitoring every 4 hours, ampicillin 50 mg/kg, and gentamicin 4 mg/kg. 1 week later: Baby Polk is extubated and is placed on high-flow nasal cannula at 1 liter. She is tolerating gavage feedings and gaining weight. She is experiencing occasional episodes of apnea and bradycardia. Discuss the criteria for discharge from the NICU. SCIENCE HEALTH SCIENCE NURSING NURSING NURS 380

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