[Answered]: Newborn Case Study This is a Zoom class discussion

Newborn Case Study This is a Zoom class discussion. Please complete the full worksheet in advance as you may be called on for any question. It is acceptable to be incorrect, as this is an ACTIVE learning process. The goal here is to ensure you understand the basics of newborn nursing care and patient teaching. Newborn History: Baby boy Jeremiah was born 23 hours ago via spontaneous vaginal delivery (SVD) at 38 weeks and 2 days gestational age. He weighs 3,240 grams, APGARS were 2/7/8. Upon delivery the baby was given erythromycin ophthalmic ointment and aquamephyton IM. The mother requested further information prior to agreeing to the Hepatitis B Vaccine and HBIG. The baby’s cord blood is sent to the blood bank and he is coombs positive, blood type A+. Baby vital signs at this time are: T – 97.4, P- 124, R-36. The baby’s hands and feet are notably blue and when stimulated, the baby has a vigorous, lusty cry. At rest, the baby is observed to be loosely wrapped in a t-shirt that is wet with formula and a soiled diaper; the baby is also noted have an extended moro reflex and appears “jittery” beyond what is normally expected. Mom’s History: 29 year old NKDA, G-1 P-1, Blood type A-, HbSag positive, rubella non-immune, HIV -, RPR -, Group Beta Strep (GBS) was detected in mom’s urine prior to delivery, history of gestational diabetes, depression and anxiety, plans to bottle feed. Mom sustained a 3rd degree periurethral laceration at delivery. For support, she is married and has a supportive family and sister who live nearby. 1. Is the baby’s weight at delivery in normal range? What is the expected range of weight? 2. Was the baby born early? How many weeks gestation should the baby be born? 3. What do the APGARs tell us about the baby’s well-being? 4. What are the 5 criteria for APGAR? 5. Why were 3 APGAR readings taken? 6. What vaccine or vaccines will the baby get upon delivery and why? 7. Which information sheet will the nurse review with the mother prior to administering a vaccine to the baby? 8. Which agency is the authority on vaccine information? 9. Which is the anatomical landmark and procedure for giving an IM injection to a newborn? Which gauge and length needle will the nurse select and why (rationale)? 10. Is parental permission needed to administer a vaccine and medications to the newborn? 11. What is erythromycin and why is this administered to the baby? What is aquameqhyton and why is this administered to the baby? 12. Why is the baby’s blood type important? 13. What interventions will be taken by the nurse given the baby’s Coomb’s positive status? 14. Mom is Group Beta Strep (GBS) positive; what is GBS and who can it make ill? What prophylactic measures will be taken prior to delivery and why? 15. Is it normal that the baby has blue hands and feet? 16. What are normal vital signs in a newborn? 17. Which vital sign is most concerning in th