Essay NRS3900: Neonatal Case Study – Nursing Assignment Help

Assignment Task:

The aim of this assignment is to apply your knowledge of the pathophysiology of a common newborn condition from a neonatal case study. You will have an opportunity to discuss treatment and nursing/midwifery management of the condition, and to accurately interpret information from assessment data and relate it to this underlying pathophysiology. Further, you will examine the role of the nurse/midwife in fostering a family centred approach to neonatal care. 

Case study one: Presenting clinical problem: 

RESPIRATORY DISTRESS SYNDROME 

History: A 32+3/40 male infant – Jack – is admitted to the neonatal unit of a tertiary hospital in Australia. His mother Michelle is 24, and this is her first pregnancy (gravida 1; parity 1 [G1P1]). Michelle’s pregnancy had been unremarkable up until the last few days before she gave birth to Jack when she developed flu’ like symptoms. Michelle’s membranes spontaneously ruptured four hours prior to delivery; maternal steroids were administered, and Jack was delivered vaginally. Jack’s Apgar score was 5 at one minute, and 8 at five minutes. 

Case study two: Presenting clinical problem: 

NEONATAL JAUNDICE 

History: Baby girl Jennifer is receiving care in the neonatal nursery due to mild respiratory distress at birth. Jennifer was delivered vaginally at 34+2/40 following premature rupture of membranes and spontaneous labour and delivery. It was noted at delivery that Jennifer had significant facial bruising due to her presentation during birth. 

Jennifer’s mother is Sian, a 41-year-old multiparous woman (Gravida 5; Parity 5 [G5; P5]). Jennifer has responded well to nasal continuous positive airways pressure (nasal CPAP) which has now been removed, and she is breathing spontaneously in room air. Her birth weight was 2330gms.