SCENARIO 5

Mrs. SC was ordered for discharge on her 3rd day post-CS. But baby girl SC had to stay
behind for further evaluation and management. On her 4th day at the NICU, she is still
with poor suck, weak cry, slightly jaundiced, with cyanosis on her hands, feet, and
around the lips. The nurse noted that she is asleep most of the time, about 18 to 19
hours in a day.

A. What might be happening to Baby girl SC?

B. Develop a plan of care for her.

CUES:
- 4th day in NICU
- poor suck,
- weak cry,
- slightly jaundiced
- Acrocyanosis (cyanosis on her hands, feet and around lips
- Sleeps for 18-19 hours per day

BROAD IDEAS

RESPIRATORY SYSTEM
- RESPIRATORY DISTRESS
- RESPIRATORY INFECTIONS
- Pneumonia
- Pulmonary Hypertension
- TRANSIENT TACHYPNEA
- Tonsilitis
- Respiratory Syncytial Virus/bronchiolitis
- Sinusitis
- Otitis Media
- Nasopharyngitis
- Asthma
- Croup syndrome
- Laryngotracheobronchitis

NERVOUS SYSTEM
- Neural Tube Defects
- Hydrocephalus
- Spina Bifida
- Cerebral Palsy
- Kernicterus
-
GASTROINTESTINAL SYSTEM
 Cleft Lip
 Cleft Palate
 Gastro esophageal Reflux
 Hirschsprung disease
 Structural Defects
 Intussusception

ENDOCRINE/METABOLIC SYSTEM
 Hyperbilirubinemia
 Hypoglycemia


CARDIOVASCULAR SYSTEM
- Patent Ductus Arteriosus
- Septal defects
- Tetralogy of Fallot
- Pulmonary Stenosis
- Tricuspid atresia
- Ventricular septal defect
- Kawasaki Disease
 Congestive Heart failure

- Rheumatic Heart Disease