[Solution]RESPIRATORY DISTRESS SYNDROME

Aim:The aim of this assignment is to apply your knowledge of the pathophysiology of a common newborncondition from a neonatal case study. You will have…

Aim:The aim of this assignment is to apply your knowledge of the pathophysiology of a common newborncondition from a neonatal case study. You will have an opportunity to discuss treatment andnursing/midwifery management of the condition, and to accurately interpret information from assessmentdata and relate it to this underlying pathophysiology. Further, you will examine the role of thenurse/midwife in fostering a family centred approach to neonatal care.This written assignment addresses all the course learning outcomes.Instructions:

Review the TWO case studies provided and select ONE to be the stimulus for your essay.Write an essay that contains the following components (suggest approx. 300 – 350 words persection):a. Discuss the pathophysiology of the presenting clinical problem for the newborn in yourselected case study;b. Discuss treatment and nursing/midwifery management of the presenting clinical problem;c. Consider the assessment data that has been provided – discuss these data and relate them tothe pathophysiology (you need only discuss abnormal findings);d. Discuss the principles of family centred care in relation to the family in your selected casestudy.Other elements:• You may use both appropriate textbooks and relevant journal articles in your essay. This includes theQueensland Health neonatal guidelines;• You may refer to your case study in your essay, but avoid repeating this information and using up your wordcount;• Do not exceed the word limit – the word limit does not include the reference list BUT does include in-textreferences and quotations;• Ensure that your resources have been published from 2014 (inclusive);• You may use headings in your submitted essay if you wish;• Use third person and academic language in your essay;

History: A 32+3/40 male infant – Jack – is admitted to the neonatal unit of a tertiary hospital in Australia. His motherMichelle 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 shedeveloped flu’ like symptoms. Michelle’s membranes spontaneously ruptured four hours prior to delivery; maternalsteroids were administered, and Jack was delivered vaginally. Jack’s Apgar score was 5 at one minute, and 8 at fiveminutes.Currently: Jack is assessed by nursing/midwifery staff on admission to the nursery. He is initially stable, but in thefirst hour of life he begins to deteriorate.Assessment data:• Birth weight 1620 gm.• Heart rate (apical): 146 (with intermittent periods of bradycardia noted)• Respiratory rate: 70 (periodic breathing noted)• Sp02: 91%• Temperature (per axilla): 36.1co Jack has ‘grunting respirations’ and sub-sternal recession.o His mucous membranes are pink, but his hands and feet are dusky.o Jack has a heel prick blood gas (capillary blood gas): he has respiratory acidosis with an elevated C02.o His Sp02 continues to decrease, intermittently decreasing to a Sp02 of 86%.o Jack has blood cultures taken.Psychosocial: Michelle visits Jack with her mother in the afternoon. Jack’s biological father was aware of Michelle’spregnancy, but does not wish to be involved with Jack. Michelle asks the nurse about the care of her son and wishesto be involved in all aspects of his care while he is in the nursery. She wants to know when visiting times are forparents in the nursery

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