We Offer Paper Writing Services on all Disciplines

Make an Order Now and we will be Glad to Help

Order Now

Ask an expert to help you with your homework

We are ready to assist you anytime.

Order Now

Newborn Transitioning

CHAPTER 17: Newborn Transitioning

Sarah works in the labor and delivery unit as a transition nurse. Her department has instituted a new bedside transition period where newborns make the transition to extra uterine life in their mother’s recovery room about an hour after birth. Sarah’s next assignment is a new baby boy with Apgar scores of 8 and 9, born by cesarean about 1 hour ago to Lindsay, a 28-year-old G1. Sarah’s assessment findings of the new baby boy are:

· Vital signs: axillary temperature 37.0° C, heart rate 145, respiratory rate 75

Save your time - order a paper!

Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You won’t have to worry about the quality and deadlines

Order Paper Now

· Observations: color pink, respirations rapid and unlabored, good muscle tone, good arm and leg movement

· Auscultation: breath sounds clear and equal bilaterally, strong heart sounds with a soft murmur, active bowel sounds in all four quadrants

· Physical assessment: fontanels soft and flat, eyes clear with red reflex in both, ears normal shape and placement, soft and hard palate intact, strong suck, both nares patent, capillary refill less than 2 seconds, both testes descended

· Measurements: weight 8 pounds 6 ounces, length 20 inches, head circumference 36.2 cm, chest circumference 36.0 cm


1. Which assessment findings for this newborn are abnormal? What is the most likely cause of these abnormal findings?

The assessment shows that the baby has a high respiratory rate of seventy five. The normal respiratory rate for infants range from 30 to 60. When it goes higher than that then the baby is having some respiratory problems. This abnormality might be caused by respiratory distress syndrome or transient tachypnea of the new born.  It is TTN… RDS is a diagnosis of prematurity.  Go read about TTN.

0. How would Sarah explain these abnormal findings to Lindsay?

Respiratory distress happens when the baby has difficulties in breathing. The difficulties may occur due to abnormalities in the lungs, nose, heart, and other respiratory passages. Sometimes, infants experience labored and high respiratory rates because their respiratory system is well and fully developed (Rici, 2013)..  this is a generic answer…

0. Describe the nursing interventions that Sarah would implement based on these findings.

In this case, the most effective nursing interventions for the baby would be administering intratracheal surfactant and prophylactic surfactant.  This is done for prematurity…not the problem and it is a medical intervention NOT nursing..


The two are rescue interventions to enable the baby breath and supply the body with enough oxygen.

Baby girl Destiny was born by cesarean delivery 2 days ago. Destiny weighed 7 pounds 3 ounces, length 19 inches, head circumference 34 cm, and chest circumference 34 cm. Her newborn course has been unremarkable. You observe that when held, Destiny appears alert and stares into her caregiver’s face. Destiny appears to be a content baby and cries only when she is hungry or when she needs a diaper change. When hungry, you observe that she brings her hand to her mouth and starts sucking on her fist and then begins to cry. Destiny falls asleep immediately after the feeding. The telephone, which is next to Destiny on her mother’s bed, rings loudly and Destiny does not appear to respond to the loud sound by moving her extremities or awakening briefly. (Learning Objective 5)


i. Based on your observations of Destiny, are her behaviors normal? Which of the five typical behavioral responses were observed?

Destiny’s behaviors are not normal. Out of the five typical behavioral responses, crying is clearly observed with baby Destiny. She cries when she is hungry and when she needs a diaper change. Mostly infants communicate through crying. Also, reflex response is observed especially sucking. When she is hungry, she brings her fist to the mouth and begins to suck it.

ii. Does Destiny exhibit any behaviors that may be cause for concern? What is the concern and what might you as the nurse do to assess further?

The main behavior exhibited by the baby that causes concern is hearing. Infants have the ability to hear and react to sounds and voices. Therefore, the major concern could be ability of the child to hear. As a nurse, I would use otoacoustic emissions method to assess the hearing of the baby.



Ricci, S. S. Esentials of Maternity, Newborn, and Wom     ens health Nursing.(2013).

We have worked on a similar assignment and our student scored better and met their deadline. All our tasks are done from scratch, well researched and 100% unique, so entrust us with your assignment and I guarantee you will like our services and even engage us for your future tasks. Click below button to submit your specifications and get order quote

Get started

How it works

Place an order

Select the paper type, page limit, discipline, and format, and then set the deadline. Specify your paper instructions and attach the additional materials.

Track the progress

Check the finished parts of the paper and ask for amendments if necessary. Use the online chat for quick communication with the writer

Receive a paper

Release the payment when you are fully satisfied with the work. Leave feedback to share your experience with our writer.

Why our online essay writing service?

All types of paper writing help

Whether you need an essay, research paper, or dissertation, We have you covered. Our writers can create any kind of academic writing. Also, we can rewrite and edit your papers.

24/7 support

If you have questions about our service or need additional details to make a request, our friendly customer support will get your issues resolved.

On time delivery

Punctuality is our second name. Your order will be delivered strictly within the deadline. If you have an urgent order, we can do it! Our writers will need at least three hours to complete it.

Let us cover any of your writing needs!

Academic Paper Writing Service

Our best writers will gladly help you with:

Coursework / Homework

  • Homework Assignment
  • Engineering Assignment
  • Statistics Assignment
  • Biology Assignment
  • Nursing Assignment
  • Chemistry Assignment


  • Essay
  • Term Paper
  • Research Paper
  • Thesis / Dissertation
  • Research Proposal
  • Editing and proofreading


  • Multiple Choice Questions
  • Short Answer Questions
  • Word Problems
  • Programming Assignment
  • Article Writing
  • Mathematics Calculations