CRITICAL THINKING QUESTIONS 1. A 32 weeks’

CRITICAL THINKING QUESTIONS 1. A 32 weeks’ gestation infant transferred to the Neonatal Intensive care Unit (NICU). The infant with crackles, pallor and the use of accessory muscles immediately after birth. Describe the priority nursing care appropriate for this infant. Describe support measures that should be used in the care of this infant. 2. Describe the steps for neonatal resuscitation 3. After a difficult vaginal delivery, an infant exhibits limited movement of the right arm, crepitus over the bone and lack of a Moro Reflex on the right side? What do you suspect is happening? What care and parent teaching would the nurse provide for this infant? 4. Describe the risks and signs and symptoms of Heroin abuse in a neonate? What is the nursing care management (include medications) for this infant in the NICU? 5. A preterm newborn was born at 32 weeks gestation, vital signs were; HR 180 – respirations 25 – temperature 97.0 – 02 saturation 90% – Oxygen therapy was started immediately. What are the complications for an infant with a prolonged temperature of 97.0? What is the care required for this infant? 6. The parents of an infant who is receiving Continuous Positive Airway Pressure therapy (CPAP) is asking how this helps their baby breath better and why is there a tube in their babies mouth. How should the nurse describe CPAP to these parents/ What should the nurse teach the nursing student about the complications that may occur from the use of CPAP? 1. Describe the care for an infant receiving Phototherapy. 2. An infant has been diagnosed with Patent Ductus Arteriousus (PDA). Discuss the risk factors for a PDA? What are the clinical signs and symptoms for a PDA? How is a PDA diagnosed? What is the care management and nursing support of a neonate diagnosed with this condition? 3. Describe clinical manifestations the nurse assesses to rule out these congenital anomalies: a. Retinopathy of Prematurity b. Bronchopulmonary Dysplasia c. Necrotizing Enterocolitis d. Meconium Aspiration Syndrome 10. Complete drug sheets for these medications A. Caffeine B. Surfactant C. Indomethacin

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