Question

what method of delivery would be best in this situation? (Include rationale for your choice) The triplets are delivered and have apgars as follow: what interventions should be done 9 for each newborr Interventions Rationale: Baby A Apgars: 7&9 Baby B Apgars: 3&5&7 Baby C: Apgars: 588 The babies are transported to the NICU. What behaviors might the nurse anticipate the babies will display over the next few days and weeks? What short-term and long-term complications should the nurse anticipate for the 3 newborns? Short-term complications Long-term complications

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Answer 1

1. The method of delivery that would be best for this situation is cesarean section because there are triplets and it would be difficult to have a normal vaginal delivery without any complications to the babies and mother .

Apgar is a quick test performed on a baby at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process. The 5-minute score tells the health care provider how well the baby is doing outside the mother's womb. In rare cases, the test will be done 10 minutes after birth

# Baby with apgar score 7and 9 - Interventions :

- For initial 7 gently stimulate the baby , rub newborns back ,administer oxygen if necessary

- For apgar score 9 - No Interventions is required

# Baby with apgar 3,5,and 7 - Interventions :

- For initial 3 ,baby requires resuscitation

- For initial 5 gently stimulate the baby , rub newborns back ,administer oxygen if necessary

- For initial 7 gently stimulate the baby , rub newborns back ,administer oxygen if necessary

# Baby with apgar score 5and 8 - Interventions:

- For initial 5 gently stimulate the baby , rub newborns back ,administer oxygen if necessary

- For 8 apgar score - no interventions is required

2. Short-Term Effects of Preterm Birth

Preterm babies often require special care in the neonatal intensive care unit (NICU). In general, the earlier the preterm infant, the greater the likelihood that life support will be needed, meaning a longer stay in the NICU.

Preterm babies are at higher risk of being readmitted to the hospital and at higher risk of death after they go home.

Two of the most serious problems of preterm birth are respiratory distress and immature brains:

Serious breathing problems are common in preterm infants and may even require that the baby be put on life support (ventilators). These babies may have breathing problems through the first year of life and increased risk for asthma later.

The brain is the last major organ to mature in babies. The immature brain continues to develop even after the time of birth. The more prematurely the baby is born, the more likely it is that bleeding or other signs of stress will affect the brain. Even at 35 weeks, the baby's brain weighs only two-thirds what it will weigh at term (about 40 weeks). If the baby is born early, even just a few weeks early, this important brain growth takes place in an abnormal environment (outside the womb).

Long-Term Effects of Preterm Birth

Preterm babies can suffer lifelong effects such as cerebral palsy, mental retardation, visual and hearing impairments, and poor health and growth.

Babies born only a few weeks early (late preterm, 34-36 weeks) often have long-term difficulties such as:

Behavioral and social-emotional problems

Learning difficulties

Increased risk of conditions such as Attention Deficit-Hyperactivity Disorder (ADHD)

Increased risk for Sudden Infant Death Syndrome (SIDS)

Children born preterm are more likely to require early intervention and special education services.

Children born preterm are more likely as adults to have chronic diseases such as heart disease, hypertension and diabetes