SOLVED815

Roberta and Thomas have been married for 3 years and were expecting their first child. They were expecting a boy, and chose the name Zach for their son. At a routine 32 -week appointment, a routine ultrasound was performed. Zach was diagnosed with hydrocephalus and a myelomeningocele. Roberta was scheduled for a caesarean section at 38 weeks gestation and the couple was anxious about Zach’s condition and his treatment following birth. Case study Zach is delivered by C-section and transferred to the pediatric intensive care unit (PICU). On admission to the nursery he weighs 3.4kg, and is 8cm in length. His vitals signs are: T-98.6 F P-144 beats/minute RR- 40 breaths/minute He has bulging fontanels and a high-pitched cry. His head circumference is 40cm(15.8in) and his chest circumference is 34cm (13.4in). In the lumbar region of his spine, the nurse notes a sac-like projection. When Roberta and Thomas visit the nursery, they stroke Zach and caress his fingers and toes. Roberta begins to cry and comments to the nurse, “I wanted to breastfeed Zach, but now I guess I can’t”. Questions 1. Discuss the reason for Zach being delivered by C-section?
SCIENCE
HEALTH SCIENCE
NURSING

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