NURS 323 Lecture Notes - Lecture 5: Congenital Hypothyroidism, Sclera, Club Foot
30 Dec 2020
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Maintain warm environment oxygen therapy as needed chest physiotherapy blood glucose testing adequate nutrition supporting parents and caregivers. More common with assistive devices such as a vacuum or forceps injuries include soft tissue (involves the head of the newborn), brachial plexus, bone and intra abdominal injury. Cephalhematoma: blood accumulation between the skull and periosteum, overtime blood should be reabsorbed and swelling goes down (may progress to hyperbilirubinemia) Caput succedaneum: swelling that crosses suture lines (particularly after a long labour) Fracture of the humerus or femur: associated with breech birth, ecchymosis, hematoma or hemorrhage may be noted at the site. Risk factors: prolonged or rapid labour, primigravida, large for gestational age, instrumental deliveries, abnormal or excessive traction during delivery, maternal diabetes, large fetal head, small maternal pelvis. Nursing interventions inspecting and palpating the head, neck and skin inspect for asymmetries assess for pain and irritability reporting changes in neurological status. Maintain warm environment educate and reassure parents immobilization of affected extremities.
