Nursing Reflection Paper

Ricci, S. Kyle, T. and Carman, S. (2017). Maternity and pediatric nursing 3rd ed. Philadelphia:

     The authors (Chiu, Anderson, & Burkhammer, 2005) of the article present all the essential components of the research study. There will be a decrease in temperature in the newborn if having difficulties breastfeeding while having skin-to-skin contact with the mother. That was the inferred hypothesis. The method used to gather the information was a pretest-test-posttest study design and the sample consisted of 48 full-term infants. The key findings showed most infants reached and maintained temperatures between 36.5 and 37.6 degrees Celsius, the thermo neutral range, with only rare exceptions.

Thermoregulation is a critical physiologic function that is closely related to the transition and survival of the infant. An understanding of transitional events and the physiologic adaptations that neonates must make is essential to helping the nurse provide an appropriate environment and help infants maintain thermal stability.

The patient I took care of was a 30-35 year old female who was one-day postpartum. The patient’s prenatal care prior to the recent few weeks before delivery took place at Barrington Health Center; she then transferred care to Community South. She reported having an allergy to Benedryl, and a GTPAL score of Gravidity 5, Term 4, Abortion 1, and Living 4. The patient’s gestational age was 39 weeks. The patient stated she sought care “regularly” at Barrington Health and did not report specifically how often. Her health information from Barrington Health Center did not transfer over in the patient’s chart, thus, it is unknown exactly how often she sought prenatal care. Once she transferred care to Community South Hospital four weeks prior to

Patient Y was very anxious in the PACU due to the fact that she did not know the status of her baby. In order to eliminate

(2011). Comparison of Radiant Warmer Care and Kangaroo Mother Care Shortly after Birth on the Neurobehavioral Responses of the Newborn. Journal of South Asian Federation of Obstetrics & Gynecology, 3(1), 53-55. Retrieved from

Evidence has shown what mothers and newborns need after birth, each other. There are many opportunities for skin-to-skin care and breastfeeding. Nurses and healthcare professionals must support the physiological need that mothers and newborns have for each other after the birthing process. It is crucial that the nurses recognize the short- and long­term health benefits for the mothers and newborns that result from skin-to-skin care. Therefore, as healthcare professionals it is important to educate the patients and prevent separation of a mother and her newborn as a healthy birth

After the delivery, the heat from the mom’s body can warm the baby and maintains the baby’s body temperature. For instance, when nursing students were at the operating room at Saint Peter’s Hospital during the C-section delivery, as soon as the baby was out, the doctor placed the newborn on the mother’s chest. When the mother was alert and awake during the C-section made it possible for the baby to stay on her chest on the first hours after the birth. It was one of the most beautiful moments in life. Nevertheless, there was another C-section birth of diabetic mother. She was not fully awake during the C-section and the doctor only did not promote skin-to-skin mother and the newborn. The doctors and nurses at Saint Peter’s Hospital support and encourage skin-to-skin for mother and newborn right after the birth if there is no complication on mother or baby or when the condition is possible. Saint Peter’s Hospital has policy for vaginal delivery, “all infants that meet the criteria for initiate skin-to-skin care shall have skin-to-skin care implemented as the standard of care immediately after birth and as needed thereafter regardless of feeding preference”. They promote skin-to-skin contact between mother and baby immediately after delivery. However, mothers and babies have a physiologic need to be together during the minutes, hours, and days following birth, and this time together significantly improves maternal and newborn outcomes.

Maternal vital signs should be obtained upon admission to the postpartum unit, and compared with

On December 29, 1999, my little brother was born at nine and a half pounds in a cold and sterile delivery room. Surprisingly, he was taken from my parents immediately. They were told that this only happened in emergency cases, and the nurses would not answer any further questions. I can only imagine my mom’s instant suffocating panic attack. The neonatal nurse brought him back and explained that he had a low APGAR score. The APGAR summarized that Thomas did not respond to the birthing process as he should have. Several lingering minutes later, his vitals improved; he was tested again and scored an eight or a nine out of ten. After he was finally given back to my parents, my mom noticed that Thomas’s foot was turned outward.

The nursing profession has been around for a very long time. Through many changes and reforms, it has drastically evolved into the nursing profession we have today. Nurses have an important role within the healthcare industry in the treatment and medical care of the sick. These trusted healthcare professionals continue to make up the largest majority of the healthcare field, as well as the fastest growing occupation. Nursing is a job that allows people to not only care for the sick but also to experience, learn and further their interest in the human body. This course has definitely provided me an insight to the roots of the profession I would like to pursue. I think it is important to know the history of nursing to understand fully on the problems that are affecting the profession. I believe that we cannot effectively address important issues without a foundation of historical knowledge. In other words, by examining the nursing history, I will be able to appreciate my important role as a nurse in the healthcare system. The topics I will be including in my reflection are the works of Florence Nightingale, the affects of World War II, the challenges of Filipinos aspiring to be nurses, and excerpts in Chapter 10 of “A History of American Nursing.”

After I got the assignment, I met my nurse, introduced myself and took the report of the patient. I went in my patient room and introduced myself. I took patient vitals and documented it. With Professor Zentis I did physical assessment. Her fundus was firm and midline 2 fingers below the umbilicus. The patient had scent lochia rubra. Mrs. M has 6year old daughter and concerned that she is not sure the right positions to feed baby. She also had incision pain

The study found that women exposed to extreme cold during the first seven weeks of

The high lights of this month were when I witnessed a vaginal birth of a healthy baby girl. Shortly after the baby's vaginal birth the baby was evaluated for its ability to adapt and transition normally to life outside the uterus. The baby was transported to a warming unit with a radiant heat source. The baby (now officially called a neonate) is dried of all moisture, which helps to minimize the loss of its core temperature. The nose and mouth of the baby are suctioned to clear the baby of all secretions and to aid in its first breathing efforts. The baby should begin crying within the first 30 seconds to one minute of life. To accomplish this, gentle stimulation is usually required and accomplished by rubbing the baby's back or gently stimulating

•NANDA diagnoses: Fluid Volume Deficit R/T failure of regulatory mechanism, risk for impaired parent/infant attachment R/T neonates physical illness and hospitalization, hyperthermia R/T inflammatory process AEB an increase in body temperature, warm skin, and tachycardia, ineffective tissue perfusion R/T impaired transport of oxygen across alveolar and on capillary membrane, and interrupted breastfeeding R/T neonate’s present illness AEB separation of mother to infant.