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Essay / Research Paper Abstract
This 7 page paper provides an overview of prenatal and neonatal care, with a focus on questions regarding the use of different proceedures and the learning objectives for nurses. Bibliography lists 5 sources.
Page Count:
7 pages (~225 words per page)
File: MH11_MHChildbNur.rtf
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Unformatted sample text from the term paper:
physiologic changes occur quickly by which a fetus makes the transition to a neonate (Vadhera, 1997). At the time of birth, there are four major steps that are used
to evaluate a newborn in terms of airway, suctioning and the use of oxygen (Vadhera, 1997). These steps are widely used as the center of facility policies regarding neonate
care. First, the newborn is stabilized and airway function is evaluated (Vadhera, 1997). This step consists of drying the neonate and placing them under a radiant warmer, while quickly
suctioning the mouth and nose (Vadhera, 1997). This occurs immediately following birth, in the first 20 seconds (Vadhera, 1997). If merconium is present, racheal suctioning is used to
reduce the aspiration of merconium (Vadhera, 1997). The second step occurs within 20-30 seconds after birth and this is the assessment of neonatal respiration (Vadhera, 1997). If the
neonate has begun independent respiration without cessation, this is the best response. If the neonate is apneic or shows signs of gasping during respiration, positive pressure ventilation should be
used immediately with 100 percent oxygen at a rate of 40-60 breaths per minute using a bag and mask (Vadhera, 1997). While only 6 percent of newborns require advanced
life support in 1997, the rise in the number of neonates since that time weighing less than 1500 grams has led to an increase in the overall number of neonates
requiring these measures (Vadhera, 1997). When necessary chest compressions will also be used if the neonate is assessed to be unresponsive and without a pulse. This is the third
step in the process and often requires the involvement of multiple staff members. Vadhera (1997) reports that in as much as 31 percent of the cases, anesthesia personnel are
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