Assignments, Chapter 26, Nursing Care of a Family With a High-Risk Newborn
1. Make a list of nursing diagnoses and expected outcomes for the following premature newborns:
· A newborn who develops anemia of prematurity
· A newborn who is born with persistent patent ductus arteriosus
· A newborn who has periventricular hemorrhage
2. Develop a nursing care plan for a high-risk premature infant that reflects the use of the nursing process and following QSEN competencies:
· Patient-centered care
· Teamwork and collaboration
· Evidence-based practice
· Quality improvement
Share your nursing care plan with the rest of the class in a class discussion.
1. Divide into six groups. Each group should choose a different one of the following classifications of newborns to discuss:
· Appropriate for gestational age (AGA)
· Large for gestational age (LGA)
· Small for gestational age (SGA)
· Low–birth-weight (LBW) infant
· Very-low-birth-weight (VLBW) infant
· Extremely-low-birth-weight (ELBW) infant
Within your group, discuss the characteristics of the babies in the category you chose and appropriate nursing interventions for the infant and family.
2. Divide into four groups to discuss the following 2020 National Health Goals pertaining to preterm birth:
· Reduce low birth weight (LBW) to an incidence of no more than 7.8% of live births and very low birth weight (VLBW) to an incidence of no more than 1.4% of live births from baselines of 8.2% and 1.5%, respectively.
· Increase the proportion of VLBW infants born at level III hospitals or subspecialty perinatal centers from a baseline of 76.1% to a target level of 83.7%.
· Reduce the rate of fetal and infant deaths during the perinatal period (28 weeks of gestation to 7 days or more after birth) to 5.9 per 1,000 live births from a baseline of 6.6 per 1,000 live births.
· Reduce the rate of deaths from sudden infant death syndrome (SIDS) to 0.5 per 1,000 live births.
Within your group, discuss how nurses can help the nation achieve these goals and design a teaching tool for parents to help meet these objectives.
1. During your clinical rotation, arrange to shadow a nurse who is caring for high-risk newborns in a NICU. Watch as the nurse makes assessments of the infants to determine whether the infant has made a safe transfer to extrauterine life. Make a checklist of these assessments to use in your future practice.
2. Interview a neonatal nurse and ask how he or she evaluates expected outcomes of nursing care of high-risk newborns to determine the effectiveness of care. With the nurse’s help, devise a list of expected outcomes that are appropriate for these newborns.
1. Search the Internet for the latest developments in the provision of nursing care for high-risk premature newborns. Place your findings in a report to share with the rest of the class in a class discussion.
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