Transcription of Case Study 01
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Case Study 01
1-1 CASE Study 1:NewbornTHE NERVOUS SYSTEMO verview:This case requires knowledge of hydrocephalus, spina bifida, growth and devel-opment, as well as an understanding of the client s background, personal situation, and parent-child attachment from Thomson Delmar Learning s Case Study Series: Pediatrics, by Bonita E. Broyles, RN, BSN,MA, PhD. Copyright 2006 Thomson Delmar Learning, Clifton Park, NY. All rights HospitalETHNICITY Black AmericanCOEXISTING CONDITIONS MyelomeningocelePSYCHOSOCIAL Parental anxietyCase Study 3/30/06 3:34 PM Page 1-11-2 Client ProfileJerodis the name Joanna and Jim chose for their first child. Jim accom-panied Joanna to all of her prenatal visits. When the routine ultrasoundwas performed at 32 weeks gestation, Jerod was diagnosed with hydro-cephalus and a myelomeningocele. His parents were initially devastated,but remained very excited about their son s birth.
Jerod can be breastfed. Prior to surgery, the nurse can assist Joanna in posi-tioning Jerod on his side facing her breast, taking care not to apply any pressure to Jerod’s back in the vicinity of the myelomeningocele. This posi-tion can be used postoperatively following Jerod’s surgical repair and clo-sure of the myelomeningocele.
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