CASE NUMBER 2 Nursing Care of the Child with Physical or Developmental Challenge Client profile: Maureen, is a neonate admitted into the newborn nursery after her breech vaginal delivery. She is the first born child of Mr. and Mrs. Moreno, who have been anxiously awaiting Maureen's birth. The child's mother successfully breastfed her immediately after the child was born. Case study: Upon admission, Maureen was weighted and measured. She weighs 4.5kg (9lb, 14oz) and measures 55 cm (22 in) in length. Her vital signs are within normal ranges; with pink skin color and she is crying. The nurse notes no murmur upon auscultation of the heart and her bowel sounds are present. As the assessment continues. The nurse observes asymmetry of Maureen's thigh and gluteal folds and limited right hip abduction. Her right upper leg appears shorter than her left. Questions: 1. Discuss the significance of Maureen's clinical manifestations. 2. What other assessment data would be helpful in preparing Maureen's care plan? 3. Maureen was diagnosed with developmental dysplasia of the hip (DDH). What are the priorities of care for Maureen prior to discharge?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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CASE NUMBER 2
Nursing Care of the Child with Physical or Developmental Challenge
Client profile:
Maureen, is a neonate admitted into the newborn nursery after her breech vaginal delivery. She is
the first born child of Mr. and Mrs. Moreno, who have been anxiously awaiting Maureen's birth.
The child's mother successfully breastfed her immediately after the child was born.
Case study:
Upon admission, Maureen was weighted and measured. She weighs 4.5kg (9lb, 14oz) and
measures 55 cm (22 in) in length. Her vital signs are within normal ranges; with pink skin color
and she is crying. The nurse notes no murmur upon auscultation of the heart and her bowel sounds
are present. As the assessment continues. The nurse observes asymmetry of Maureen's thigh and
gluteal folds and limited right hip abduction. Her right upper leg appears shorter than her left.
Questions:
1. Discuss the significance of Maureen's clinical manifestations.
2. What other assessment data would be helpful in preparing Maureen's care plan?
3. Maureen was diagnosed with developmental dysplasia of the hip (DDH). What are the
priorities of care for Maureen prior to discharge?
4. Maureen is being referred to a pediatric orthopedist who recommends medical treatment
for the child. Maureen fitted for an orthopedic device. What is the device and how does it
work? What are the priorities of care for Maureen after she is fitted with the device?
5. Discuss the impact of Maureen's condition on her growth and development.
6. Using the nursing process, identify three priority nursing diagnoses for Chelsea.
Formulate a nursing care plan based on the prioritized nursing problem. Use the provided
format.
Transcribed Image Text:CASE NUMBER 2 Nursing Care of the Child with Physical or Developmental Challenge Client profile: Maureen, is a neonate admitted into the newborn nursery after her breech vaginal delivery. She is the first born child of Mr. and Mrs. Moreno, who have been anxiously awaiting Maureen's birth. The child's mother successfully breastfed her immediately after the child was born. Case study: Upon admission, Maureen was weighted and measured. She weighs 4.5kg (9lb, 14oz) and measures 55 cm (22 in) in length. Her vital signs are within normal ranges; with pink skin color and she is crying. The nurse notes no murmur upon auscultation of the heart and her bowel sounds are present. As the assessment continues. The nurse observes asymmetry of Maureen's thigh and gluteal folds and limited right hip abduction. Her right upper leg appears shorter than her left. Questions: 1. Discuss the significance of Maureen's clinical manifestations. 2. What other assessment data would be helpful in preparing Maureen's care plan? 3. Maureen was diagnosed with developmental dysplasia of the hip (DDH). What are the priorities of care for Maureen prior to discharge? 4. Maureen is being referred to a pediatric orthopedist who recommends medical treatment for the child. Maureen fitted for an orthopedic device. What is the device and how does it work? What are the priorities of care for Maureen after she is fitted with the device? 5. Discuss the impact of Maureen's condition on her growth and development. 6. Using the nursing process, identify three priority nursing diagnoses for Chelsea. Formulate a nursing care plan based on the prioritized nursing problem. Use the provided format.
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