Maria’s baby has Apgar scores of 7

Maria’s baby has Apgar scores of 7 and 9. Erythromycin ointment is immediately placed in both eyes. Aquamephyton is given IM into the right vastas lateralis. A left sided cephalohematoma is noted. Milia and erythema toxicum are present on the face, arms and chest. Acrocyanosis is present. Temperature is 97°, P. 120, R. 36. There are Mongolian spots on the buttocks Focus Questions 1) List the criteria and possible points for the Apgar score 2) Given the above assessment data, what would you consider Normal and/ or abnormal? 3) If you find something abnormal, what are your nursing interventions? 4) What interventions must be taken to ensure the safety of the infant? 5) Why are Erythromycin and Aquamephyton given? D At 1315 Maria is in the recovery room. Nursing assessment reveals fundus at +3 above the umbilicus and deviated to the right. Lochia is large rubra with small clots. BP 90/50, P 120, R 24. She complains of being cold and is shivering and shaking. Her perineum is swollen, especially on the right side. An IV of 1,000cc. LR with 10u. Pitocin is infusing into the right arm. 1) What could be happening to Maria? Explain with pertinent data 2) What interventions should be done immediately and why? 3) What are the practice standards of vital signs and checking the fundus at this stage? Why is this important? 4) What is Pitocin used for at this stage? SCIENCE HEALTH SCIENCE NURSING

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