Please note that you have to use the file attached and internet to answer the questions. The most information you can find in the file.
- 1.- Use the following terms for physical challenges in a report that discusses the manifestations or s/s of these disorders:
- Cleft palate
- Developmental hip dysplasia
- What are the nursing care for these challenges bearing the newborn and family in mind?
- 2.- Make a list of nursing diagnoses and expected outcomes for the following patients:
- A newborn is born with syndactyly.
- A newborn is diagnosed with atresia.
- A newborn is diagnosed with a volvulus.
- 3.- Use the Internet to research a congenital anomaly or physical disability in a newborn. You might want to use the following conditions from the textbook:
- Thyroglossal cyst
- Pierre Robin syndrome
- 4.- Prepare a list of nursing implications appropriate for a newborn with the congenital disorder you researched.
- 5.- Make a list of all the assessments performed in newborn with congenital disorder. discuss briefly the nursing interventions for such disorders and expected outcomes to evaluate the effectiveness of the interventions.
- 6.- How would a nurse care for such newborn and his/her family?
Expert Solution Preview
As a medical professor, my role is to create college assignments and design lectures for medical college students. I also evaluate their performance through examinations and assignments, providing feedback to enhance their learning experience. In this context, I will answer the provided questions related to physical challenges, nursing care, nursing diagnoses, congenital anomalies, assessments, nursing interventions, and family care for newborns with congenital disorders.
1. Physical challenges:
– Cleft palate: This is a congenital condition where the roof of the mouth has a split or opening. The manifestations include difficulty in feeding, speech problems, and an increased risk of ear infections. Nursing care for cleft palate should focus on providing adequate nutrition, assisting in ensuring proper latch during breastfeeding or alternative feeding methods, and facilitating communication support for the child and family.
– Developmental hip dysplasia: This refers to an abnormal development of the hip joint, which can lead to dislocation. The manifestations include asymmetrical leg movements, limited hip abduction, and uneven skin folds on the buttocks. Nursing care for developmental hip dysplasia involves regular monitoring of hip stability, providing proper positioning and immobilization devices, and educating the parents on the importance of compliance with treatment and follow-up.
– Hydrocephalus: This is a condition characterized by the accumulation of cerebrospinal fluid in the brain, leading to increased intracranial pressure. The manifestations include an enlarged head, bulging fontanelles, irritability, and developmental delays. Nursing care for hydrocephalus includes monitoring head circumference, observing for signs of increased intracranial pressure, assisting with neurologic assessments, and collaborating with the healthcare team for appropriate management.
– Omphalocele: This is a congenital abdominal wall defect where the intestines or other organs protrude through the navel. The manifestations include a visible sac or covering at the belly button area. Nursing care for omphalocele involves protecting the exposed organs by covering them with a sterile, non-adherent dressing, maintaining a warm environment, monitoring for signs of infection, and providing emotional support to the family.
2. Nursing diagnoses and expected outcomes:
– Newborn with syndactyly: Nursing diagnoses may include impaired physical mobility related to hand deformity, altered body image, and potential for infection. Expected outcomes may include improved mobility through surgical intervention or adaptive devices, enhanced body image through counseling and support, and prevention of infection through proper wound care.
– Newborn with atresia: Nursing diagnoses may include impaired swallowing related to atresia, risk of aspiration, and potential for nutritional deficiency. Expected outcomes may include improved swallowing through surgery or alternate feeding methods, prevention of aspiration through proper positioning, and adequate nutrition through tube feeding or other interventions.
– Newborn with volvulus: Nursing diagnoses may include acute pain related to bowel obstruction, risk of infection, and impaired parent-infant bonding. Expected outcomes may include pain relief through surgical intervention or pain management techniques, prevention of infection through proper hygiene and wound care, and promotion of parent-infant bonding through emotional support and education.
3. Congenital anomaly research:
For this question, you are required to conduct internet research on one of the congenital anomalies mentioned in the textbook (Ankyloglossia, Thyroglossal cyst, Pierre Robin syndrome). Utilize credible sources to gather information on the chosen condition, including its manifestations, diagnosis, treatment, and prognosis.
4. Nursing implications for a newborn with the researched congenital disorder:
Based on the research conducted, create a list of nursing implications that are relevant to the specific congenital disorder. These implications should focus on nursing interventions, monitoring, and support that are appropriate for the newborn and their family. Consider aspects such as feeding, positioning, medication administration, therapeutic play, and emotional support.
5. Assessments and nursing interventions for newborns with congenital disorders:
List all the assessments that should be performed for newborns with congenital disorders. You should consider aspects such as physical examination, growth and development monitoring, vital sign assessment, neurological assessment, and specific assessments related to the chosen congenital disorder. Discuss briefly the nursing interventions that should be implemented based on the assessments and provide expected outcomes to evaluate the effectiveness of the interventions.
6. Nurse care for the newborn and family:
Describe how a nurse would provide care for a newborn with a congenital disorder, considering their physical, developmental, and emotional needs. Also, discuss the importance of involving and supporting the family in the care process. Provide examples of nursing interventions that promote family-centered care, education, and emotional support to both the newborn and their family.