Baby Taber Case Study

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Baby Taber

Tayla Robinson
Hypoglycemia in the newborn
• Normal blood sugar • Blood test is used to
• 40-60 mg/dL
diagnose
• Heel
• Signs and Symptoms • Arm
• Cyanosis • Umbilical cord
• Poor muscle tone • Using umbilical catheter
• Apnea
• Hypothermia
• Lethargy
Glucose Water
• Babies born to mothers
with diabetes are at risk for
hypoglycemia.
• Glucose water is a fast-
acting source of glucose to
help glucose levels rise.
Infants of a diabetic mother
• Diabetes
• Dyspnea
• Cardiomegaly
• Macrosomia
• Hypoglycemia
• Hypocalcemia
• Low iron
• High RBC
• High bilirubin levels
Breastfeeding
Other needs that the nurse • The nurse needed the
needs to ensure the mother is mother to rest because
meeting includes the that is an important factor
following: in being able to produce an
• Adequate food intake adequate amount of milk
• Adequate fluid intake for the newborn.
• Managing stress properly
Problems latching
• The infant at this point is • Try to limit giving bottles
experiencing nipple • Understand important of
confusion. let-down reflex
• Positions for baby to be in
during feedings
• Understand how to get
baby to latch on
• Recognize signs of hunger
“Smelly” Stool
• Since baby Taber was an • The excess level of
infant of a diabetic mother, bilirubin may cause stool
his risk of having a high to be a clay/white color.
bilirubin is increased.
Crossing of eyes
• Also known as transient • This is caused by poor
strabismus neuromuscular control of
• Should go away in about eye muscles, specially the
3-4 months extraocular muscles.
Fontanels of a newborn
• Bulging occurs when the
baby is sucking or crying due
to the different levels of
intracranial pressure that
occurs during that time.
• By 2-3 months after birth the
posterior fontanelle should
close.
• By 1-3 years after birth the
anterior fontanelle should
close.
Jaundice in the newborn

• At 48 hours of age slight


jaundice is very normal. The
liver is not yet strong enough
to remove excess bilirubin
from the body.
• Other causes of jaundice
other than physiologic
include:
• Blood incompatibility
• Premature birth
• Cephalohematoma (bleeding
underneath scalp)
• Liver disease
Jaundice Education
• Feed frequently to promote • Bili Light home therapy
bilirubin excretion in
stools.
• Stool will be pale white and
chalky in color.
• Monitor elimination and
weight.
• Maintain adequate fluid • Watch for signs of jaundice
intake to prevent getting worse
dehydration • Looking at skin and eye
color
Breastfeeding and birth control
• When you exclusively breastfeed — • Will last until the baby is
meaning you nurse at least every 4 about 6 months or until first
hours during the day and every 6 period occurs
hours at night, and feed your baby • LAM requires that you evaluate
only breast milk — your body and re-evaluate your situation on
naturally stops ovulating. You can’t an ongoing basis to make sure that
get pregnant if you don’t ovulate. the three conditions are still met.
• No ovulation means you won’t (Fisher, 2016)
have your period, either. That’s
why breastfeeding-as-birth control
is also called the lactational
amenorrhea method (LAM).
References
• Fisher, E. (2016, December 1). Understanding Your Fertility while Breastfeeding. Retrieved from
https://breastfeedingusa.org/content/article/understanding-your-fertility-while-
breastfeeding

• Trakalo, K., Horowitz, L & McCullok, A., (Eds.) (2017)

Nursing: A concept-based approach to learning. (Vol.1). Boston, MA: Pearson Education,

Inc.

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