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Case Study, Chapter 30, Assessing Newborns and Infants

A 1-day-old infant was crying continuously and showed signs of jaundice. When having its blood pressure taken, the infant cried and its blood pressure was higher than expected. After being picked up and calmed down, the infant stopped crying. The mother then took the infant to breastfeed but called back 10 minutes later saying the infant was not sucking and was crying. When brought back to the nursery, the nurse should further assess the infant and be concerned about factors that could indicate neurological issues.

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32 views

Case Study, Chapter 30, Assessing Newborns and Infants

A 1-day-old infant was crying continuously and showed signs of jaundice. When having its blood pressure taken, the infant cried and its blood pressure was higher than expected. After being picked up and calmed down, the infant stopped crying. The mother then took the infant to breastfeed but called back 10 minutes later saying the infant was not sucking and was crying. When brought back to the nursery, the nurse should further assess the infant and be concerned about factors that could indicate neurological issues.

Uploaded by

clyde i am
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Case Study, Chapter 30, Assessing Newborns and Infants

A 1-day-old infant in the health care facility has been crying continuously. On

assessment, the nurse notes a yellowish discoloration on the baby’s skin, which suggests

jaundice. Later, during a blood pressure assessment, the infant starts to cry, and the blood

pressure reading is higher than expected for a 1-day-old infant. The nurse quickly picks

the baby up and tries to calm him. After 3 minutes, the infant stops crying, and the nurse

continues the assessment. The infant’s mother came into the nursery and requested to

take the infant back to her room. She was breastfeeding and knew it was almost time for

the next feed. The nurse gave the mother the infant and told her to let her know when she

was done with the feeding because she had to complete her nursing assessment. Ten

minutes later, the mother called the nursery and informed the nurse that she was done

with the feeding. When questioned about the short amount of time, the mother stated that

the infant was not sucking and that he was crying. The nurse brought the baby back to the

nursery.

(Learning Objective: 4)

Questions:

a. Once the infant is back in the nursery, what additional assessment should the
nurse make?
b. The nurse knows that the neurologic system is not fully developed at birth.
However, based on the assessment, what factors should be cause for concern?

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