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Client Profile Baby Amy is 24 hours

Client Profile Baby Amy is 24 hours old. She is full-term, weighs 7 lbs 3 ounces, and is 22 inches long. She was born via spontaneous vaginal delivery after 12 hours of induced labor. Her mom had butorphanol tartrate (Stadol) for pain relief, with the last dose two hours before birth. After 45 minutes with mom and dad, she was taken to the observation nursery until her temperature stabilized. Her APGAR scores were 8 and 9. Admission notes included T 96.5F after 30 minutes of skin-to-skin, glucose 35, HR 110, RR 44, and color pink, sleepy, and partially flexed. She was given glucose gel per protocol for low blood sugar in the nursery. After 30 minutes, her vital signs were taken again: T 98.0F, HR 120, RR 42, color pink, active and awake, BS 55. Case Scenario The mother received Baby Amy a two hours of age and attempted to breastfeed for the first time. The baby had difficulty taking the nipple, and after 30 minutes of trying, the mother, now in tears, called the nurse for help. Upon entering the room, the nurse finds the mother in tears and the baby sleepy. She states, “She doesn’t want the breast. Look, even when I can get her awake, she just turns her head away from me.” She is attempting to direct the baby’s head toward the breast. The baby’s maternal grandmother is with her. She is encouraging her daughter to give a bottle since she perceives that her daughter does not have enough milk. The baby’s father is also in the room and arguing with the maternal grandmother about giving a bottle saying that his wife wants to breastfeed! This seems to make the patient even more distraught, and she is still crying. The case study and the flowchart are provided below. Link the concept of reproduction with the interrelated concepts of family, stress & coping, nutrition, elimination, and fluids & electrolytes. Image transcription text How each of the interrelated concepts relate to the concept being studied Key Nursing Interventions Concept Name: Re… Show more Image transcription text Fluids & Electrolytes

 
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