NR 327 Case Study Hyperbilirubinemia RAPID Reasoning
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$15.00
| Institution | Chamberlain |
| Contributor | Sharoon |
Primary Concept | ||
Elimination | ||
Interrelated Concepts (In order of emphasis) | ||
| ||
NCLEX Client Need Categories | Percentage of Items from Each Category/Subcategory | Covered in Case Study |
Safe and Effective Care Environment |
| |
| 17-23% | ü |
| 9-15% |
|
Health Promotion and Maintenance | 6-12% | ü |
Psychosocial Integrity | 6-12% | ü |
Physiological Integrity |
| |
| 6-12% | ü |
| 12-18% | ü |
| 9-15% | ü |
| 11-17% | ü |
History of Present Problem:
Sarah Daniels was born six hours ago by vaginal delivery after 22 hours of labor at 36 weeks gestation because of premature rupture of membranes. She weighed 9 lbs 0 ounces. (4090 g). Her Apgar was 8 at one minute and 9 at 5 minutes. Her newborn assessment revealed a cephalohematoma on the right-posterior aspect of her head. All other assessment data is within normal limits. Sarah has breastfed once since birth for seven minutes. She is noted to be sleepy when at the breast and not an aggressive feeder, consistent with her gestational age. She has voided once since birth, but has not yet stooled.
Sarah’s mom Morgan was a diet-controlled gestational diabetic. Morgan’s prenatal labs are as follows: Blood type is O +, GBS is negative, Hepatitis B is negative. Her prenatal course was unremarkable other than the premature rupture of membranes.
Sarah’s blood type is A+. Blood sugars were obtained per protocol starting at two hours after birth and have been consistently > 50 mg/dL. Her hematocrit was tested per protocol of a baby of a diabetic mother born before 37 weeks and was 48% four hours after birth. Twelve hours after birth, her transcutaneous bilirubin level is 6.1 mg/dL.
| Instituition / Term | |
| Term | Spring Term |
| Institution | Chamberlain |
| Contributor | Sharoon |
