Activity Critical Thinking

Ms. Covid is an unmarried 17 year old who has just given birth via cesarean birth to her first baby girl. At
37 weeks of gestation because of a breech presentation. Ms. Covid did not receive any prenatal care. At
birth, she tests positive for group B streptococcal infection. When assessing her newborn, you conclude
she is SGA. At 6 hours of age, Ms. Covid call you and explains her baby seems to be struggling for breath.
She wants to know if this is normal. When you assess the newborn, you find a respiratory rate of 70
breaths per minute and mild subcostal retractions.
Guided Questions
1. What possible risk factors should you look for in Baby Covid?
▪ The possible risk factors for baby covid is getting sepsis or meningitis because baby covid has struggling
breathing and her respiratory rate is 70 breaths per minute, this is a signs of sepsis and having a
breathing problems is a sign for meningitis. It can also cause life- threatening to baby covid because she
have a breathing problems and she is born in preterm and small gestational age and she is positive for
having a group B streptococcal infection. 2.What is the most likely explanation for Baby Covid’s
respiratory rate and the subcostal retractions? What priority nursing interventions should you initiate?
What should you tell Ms. Covid about the situation?
▪ I tell to Ms. Covid that since her baby is preterm and small gestational age there is a higher risk to have
a Group B streptococcal infection and her baby covid’s respiratory rate and subcostal retraction are the
possible cause of this type of Group B streptococcal infection and it most common also to newborns
after 1 hour of birth. As a nurse, The nursing priorities who have ill Group B streptococcal infections is
she need a priority care in Infant intensive care unit and I will do a skin test or check her allergy test
since the usually medications is given by IV antibiotics.
3. Does Ms. Covid infection out Baby Covid at risk? What nursing interventions should be in the newborn
care plan to prevent infection and what signs and symptoms of infection should you look for in the
newborn?
▪ To prevent the Group B streptococcal infections is screen all pregnant women for vaginal and rectal at
35 weeks to 37 weeks gestation unless they had Group B streptococcal bacteria during pregnancy. and
administer antibiotics to patients during labor unless its a planned cesarian and have unknown Group B
streptococcal infections status.
▪ The signs and symptoms for newborns who have Group B streptococcal infection
▪ Being fussy, very sleepy, and having breathing problems (signs of sepsis)
▪ Breathing fast and making grunting noises (signs of pneumonia)
▪ Having breathing problems and periods of not breathing (signs of meningitis) Having a
change in blood pressure, Having convulsions (seizure)