A diabetic woman had a cesarean delivery and her baby is noted to have a respiratory rate of 82 breaths/minute with retractions. The baby's blood gas analyses are as follows: pH, 7.20; PCO2, 52 mm Hg; PaO2, 80 mm Hg; PHCO3-, 21 mEq/L
What is an important safety measure the nurse should plan to implement when caring for this infant?
A.
Ensure the CPAP pressures do not exceed 6 cm H2O.
B.
Maintain secure position of the endotracheal tube with tape.
C.
Place the skin temperature sensor over the liver border.
D.
Plan to check the baby's blood glucose every 2 hours.
ANS: A
This baby is at risk for, and has signs of, transient tachypnea of the newborn (TTN). These babies are often started on CPAP with pressures of 206 cm H2O. Pressures higher than that can cause septal damage and necrosis. The other interventions are not appropriate.
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