ADVANCE NURSING RELATED

LEARNING EXPERIENCE

Presented to
Faculty of Graduate School
St. Paul University Philippines
 INTRODUCTION
Preterm birth is when a baby is born too early, before 37 weeks of
pregnancy have been completed (CDC, 2017).
Globally, prematurity is the leading cause of death in children under
the age of 5.
Preterm babies are prone to serious illness or death during the
neonatal period.
The Philippines ranks the eighth country with the highest number of
preterm births, amounting to 348,900 preterm births, under India,
China, Nigeria, Pakistan, Indonesia, USA, and Bangladesh (WHO,
2017).
 CLIENTS PROFILE
Clients name: Baby J.O (A)
Age: 19 days old
Gender: Male
Address: Gun-OB Lapu-Lapu City
Date of birth: August 09, 2017
Religion: Roman Catholic
Nationality: Filipino
Weight: 1500 grams (3 lbs., 5
oz.)
Length: 40 cm
Admitting diagnosis: Premature
infants
Final diagnosis: Premature infant
with bacterial sepsis of newborn
and hyperbilirubinemia of
prematurity.
Attending physician: Dr. Shanida
Lopez Camomot
Hospital no.: 464053
Date of admission: August 9, 2017
Date of assessment: August 28,
2017
Chief complaint: Improving
weight gain
 BRIEF DISCUSSION OF THE CASE
Present History of the Client
The client is a male infant who delivered via normal spontaneous
vaginal delivery (NSVD) in the age of gestation is 32 weeks with the
birth weight 1500 grams (3 lbs., 5 oz.) appropriate for gestational age
(AGA). He is now in the nursery for improving his weight. He is twin
baby, the other one is also a male infant with the birth weight was
1,300 grams with cleft lip and cleft palate. The client lives separately
with her mother.
 Past History of the Client
Before, client was admitted to the neonatal intensive care unit (NICU)
immediately after birth and performed an installation of CPAP and an
intensive care bed with overhead radiant warmer. Client has received
BCG vaccine via, Hepatitis B vaccine, vitamin K 0.5 mg, Terramycin
ointment. In addition, the client has a history of hyperbilirubinemia
and get phototherapy.
Family History of the Client
Clients mother said there is also another family who have multiple
gestations. There is no history of premature labor from the family.
There is no history of asthma, hypertension, heart diseases, hepatitis,
and etc.
 Obstetrical and Labor History of Clients Mother
The client's mother said it was the first labor. The client's mother also
said that the routine checks her pregnancy every month starting from
12 weeks' gestation. The client's mother said consuming ferrous
sulfate, folic acid, multivitamins and calcium during pregnancy. In
addition, the client's mother also said there was no history of illness
during pregnancy.
LMP is January 12, 2017, with an estimated date of delivery is
October 19, 2017. The age of gestation based on the LMP is 31
weeks.
The client's mother said multiple pregnancies and experienced
contractions accompanied by rupture of the membrane on August 9,
2017 at 02.00 am. The client's mother said she was immediately
taken to Perpetual Succour Hospital for treatment. At 3:47 am the
client was born with 1,500 grams of clients with the vertex as initial
presentation, and Apgar score 1 8 5 9. Over time, at 03:52 am
another baby born weighing 1,300 grams and Apgar Score 1 8 and
5 9.
 Drug Study
Folart: 0.5 mL once a day.
Glycerin suppository: supo per rectum if without BM.
Bactroban ointment: given after post puncture site.
Heraclene: 1 capsule per day mix with milk.
Nutrilin: 0.3 mL drop PO once a day.
Sangobion drop: 0.4 mL drop PO per day.
Caffeine: 63 mg/sachet + 1 mL H2O to make 6.3 mg/mL stock
solution. Dose 7.56 mg or 1.2 mL PO once a day.
Virgin Coconut Oil (VCO): 2 mL PO once a day.