Case Study: Baby A. J.

Baby A.J. was born 10/22/15 03:19 at 33.0 weeks age via vaginal delivery. A.J. was admitted to NICU 10/22/15 at 4:00 secondary to respiration problems including grunting and bradycardic events. The Baby’s Apgars were 8 and 9. His birth weight was 2.090 Kg. Information regarding the baby’s mother, she had a cerclage placed at 14 weeks which is a cervical stitch. This was placed as a treatment for her cervix which started to shorten and open too early in her pregnancy. She had been in the hospital 4 weeks prior to delivery on bed rest and monitoring. Her rupture of membranes is as follows, PPROM, ROM 9/24 Mag on 9/25, BMZ 9/24-9/25. ABX 9/2. Mom is a G3P2L3. Mother is 39 years old at time of delivery. During my time in the NICU A.J. was at a current gestational age of 35.5 weeks The baby was preterm as was his older sister born 2 years prior. Both pregnancy’s the mother had to have Cerclage placed do to the shortening of her cervix too early. The mother did have multiple risk factors that were pointing to …show more content…
He is on a liquid vitamin that is put in his bottle one time a day in the morning. I have come up with the following NANDAS for baby A.J. Ineffective breathing pattern related to respiratory muscle fatigue. Nursing interventions would be assess the frequency and pattern of breath. The nurse should note the presence of apnea, the frequency change of heart muscle tone and skin color. The nurse should also preform cardiac and respiratory monitoring continuously. One of the baby’s goals is to outgrow his apnea of prematurity. After birth a NANDA would be Imbalanced nutrition, less than body requirements related to baby’s preterm state. Nursing interventions for this would be review the signs of hypoglycemia, give appropriate medication electrolyte supplements, and monitor laboratory tests as indicated. A.J. is now bottle feeding his mother’s pumped breast milk Q3. He feeds well and is gaining weight