Neonatal Case Presentation
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Transcript of Neonatal Case Presentation
Case StudyHypoglycemia/ Hyperglycemia
In the Neonate
Here comes the patient…You are working in the routine
newborn nursery as the admission nurse for the day. Labor and delivery has called and said they will be bringing you Baby Boy Jones, who was born 35 minutes ago via cesarean section due to the baby having decelerations in his heart rate during labor.
The Baby Arrives:Baby Boy Jones:• Born at 11:01 am
• (It’s now 11:45am)
• Weight – 9# 10 oz
• Large for gestational age
• Length – 21”
• Vital Signs - Normal
• Temp 97.9 ax
• Heart Rate 142
• Respiratory Rate 34
• Blood Glucose 48 mg/dl– by heelstick
Mom’s History
The Labor and delivery
nurse, reports that mom
had very limited prenatal
care. She reports that mom
stated she had 3 clinic
visits during her pregnancy.
Mom speaks very little
English and is hard to
communicate with.
The Baby Arrives:So let’s discuss…
What should we be considering?
What should we be watching for?After all the blood sugar is normal..
At 3 hours of age you recheck the blood sugar (per policy) and it is now 26 mg/dl. What do you do now?
Mom insists on only breastfeeding, but is not feeling up to it. What should you consider?
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