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    CA Case Study

    Uploaded by

    Stephanie Joy Escala
    1. The document is a case study assignment submitted by a nursing student. It involves caring for Mrs. Calland and her newborn baby boy. 2. For the first question, the student lists 10 newborn reflexes (e.g. rooting, sucking, Moro) and explains the maneuvers used to test each one. 3. For the second question, the student explains that the black sticky stool passed by the newborn within 12 hours is normal meconium, which forms in utero from various substances. 4. For the third question, the student indicates that yellow skin and sclera in the newborn at discharge could indicate jaundice, and a lab

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    CA Case Study

    Uploaded by

    Stephanie Joy Escala
    92 views3 pages
    1. The document is a case study assignment submitted by a nursing student. It involves caring for Mrs. Calland and her newborn baby boy. 2. For the first question, the student lists 10 newborn reflexes (e.g. rooting, sucking, Moro) and explains the maneuvers used to test each one. 3. For the second question, the student explains that the black sticky stool passed by the newborn within 12 hours is normal meconium, which forms in utero from various substances. 4. For the third question, the student indicates that yellow skin and sclera in the newborn at discharge could indicate jaundice, and a lab

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    Maternal and Child Nsg

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    1. The document is a case study assignment submitted by a nursing student. It involves caring for Mrs. Calland and her newborn baby boy. 2. For the first question, the student lists 10 newborn reflexes (e.g. rooting, sucking, Moro) and explains the maneuvers used to test each one. 3. For the second question, the student explains that the black sticky stool passed by the newborn within 12 hours is normal meconium, which forms in utero from various substances. 4. For the third question, the student indicates that yellow skin and sclera in the newborn at discharge could indicate jaundice, and a lab

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    92 views3 pages

    CA Case Study

    Uploaded by

    Stephanie Joy Escala
    1. The document is a case study assignment submitted by a nursing student. It involves caring for Mrs. Calland and her newborn baby boy. 2. For the first question, the student lists 10 newborn reflexes (e.g. rooting, sucking, Moro) and explains the maneuvers used to test each one. 3. For the second question, the student explains that the black sticky stool passed by the newborn within 12 hours is normal meconium, which forms in utero from various substances. 4. For the third question, the student indicates that yellow skin and sclera in the newborn at discharge could indicate jaundice, and a lab

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Xavier University - Ateneo De Cagayan

    College of Nursing

    In Partial Fulfillment in:


    CA 1
    Case Study on Care of the Newborn

    Submitted by:
    ESCALA, Stephanie Joy
    BSN 4 Block NB

    Submitted to:
    Mr. Philip Eli Nalzaro, RN, MN
    Mrs. Leny Baguio, RN, MN
    Mrs. Renzi Pepito, RN, MN
    Mrs. Mildred Pinque, RN, MN
    Mrs. Mary Grace Paayas, RN, MAN

    September 2017
    Case Study:
    Mrs. Calland delivered (vaginally) a baby boy today. Baby boy Calland was to be
    evaluated 38 weeks gestation and weigh 3,200 g. Mrs. Calland plans to breastfed her
    baby. You are assigned as the nurse to take care of her and her baby.
    1. Shortly after deliver, several reflexes were tested on the infant. Make a list of
    reflexes that were tested and explain which maneuvers were used and
    complete the tests.
    2. Within 12 hours after birth, the infant passed a sticky black stool. Explain why
    this should not alarm you.
    3. On the day of discharge, baby boy Calland appears to have yellow skin and
    sclera. What lab test might be ordered at this time? What would be indicated if
    the results are higher than normal results?

    Answers:
    1. List of reflexes:
    a. Blink Reflex
    - It may be elicited by shining a strong light such as a flashlight or an
    otoscope light on an eye. A sudden movement toward the eye
    sometimes can elicit the blink reflex.
    b. Rooting Reflex
    - If the cheek is brushed or stroked near the corner of the mouth, a
    newborn infant will turn the head in that direction. This reflex serves to
    help a newborn find food.
    c. Sucking Reflex
    - When a newborns lips are touched, the baby makes a sucking motion.
    The reflex helps a newborn find food.
    d. Extrusion Reflex
    - A newborn extrudes any substance that is placed on the anterior
    portion of the tongue. This protective reflex prevents the swallowing of
    inedible substances.
    e. Palmar Grasp Reflex
    - . Newborns grasp an object placed in their palm by closing their fingers
    on it. Mature newborns grasp so strongly that they can be raised from a
    supine position and suspended momentarily from an examiners fingers.
    f. Plantar Grasp Reflex
    - When an object touches the sole of a newborns foot at the base of the
    toes, the toes grasp in the same manner as do the fingers
    g. Tonic Neck Reflex
    - When newborns lie on their backs, their heads usually turn to one side
    or the other. The arm and the leg on the side toward which the head
    turns extend, and the opposite arm and leg contract.
    h. Moro Reflex
    - A Moro (startle) reflex (Fig. 18.7) can be initiated by startling a newborn
    with a loud noise or by jarring the bassinet. The most accurate method
    of eliciting the reflex is to hold newborns in a supine position and allow
    their heads to drop backward about 1 inch. In response to this sudden
    head movement, they abduct and extend their arms and legs.
    i. Babinski Reflex
    - When the sole of the foot is stroked in an inverted J curve from the
    heel upward, a newborn fans the toes (positive Babinski sign). This is in
    contrast to the adult, who flexes the toes. This reaction occurs because
    nervous system development is immature.
    j. Magnet Reflex
    - If pressure is applied to the soles of the feet of a newborn lying in a
    supine position, he or she pushes back against the pressure. This and
    the two following reflexes are tests of spinal cord integrity.
    k. Landau Reflex
    - A newborn who is held in a prone position with a hand underneath,
    supporting the trunk, should demonstrate some muscle tone. Babies
    may not be able to lift their head or arch their back in this position (as
    they will at 3 months of age), but neither should they sag into an inverted
    U position. The latter response indicates extremely poor muscle tone,
    the cause of which should be investigated.

    2. Baby Calland excreted meconium. Usually, within 24 hours after birth, the first
    stool of a newborn is sticky, tarlike, blackish-green and odorless. Meconium if
    formed from mucus, vernix, lanugo, hormones and carbohydrates that
    accumulate during intrauterine life. If Baby Calland did not pass a meconium
    stool by 24 to 48 hours after his birth, conditions such as paralytic ileus and
    imperforate anus may be suspected.

    3. Baby Calland was experiencing

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