Patient: (Newborn Focus) – Is at 37 weeks gestation. She was admitted to the labor and delivery unit on and is experiencing an uneventful labor. The scenario begins with the uncomplicated birth of the newborn. Focus on immediate care of the newborn after delivery. Focused assessment of the cardiorespiratory status: APGAR, initial steps for NRP Medications: IV Lactated Ringers (LR), Phytonadione 1mg/0.5 mL, Erythromycin ophthalmic ointment 0.5%
– Discuss the nursing care priorities immediately following the uncomplicated birth of
the newborn in patients like Patient A with a focus on neonatal assessment.
o Explain the rationale for administering medications such as IV Lactated Ringers, Phytonadione, Vitamin K, and Erythromycin ophthalmic ointment in the immediate postpartum period.
o Discuss the nursing care priorities immediately following the uncomplicated birth of the newborn in patients like Patient A, focusing on maternal assessment, and initiation of postpartum care
Sample solution
Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell.
In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.
God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.
Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.
To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.
References
Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.
Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.
Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.
Sample Answer
Sample Answer
Nursing Care Priorities Following Uncomplicated Birth of a Newborn
Introduction
The birth of a newborn is one of the most critical moments in healthcare, requiring immediate and focused nursing care to ensure the infant’s health and well-being. This essay will discuss the nursing care priorities immediately following the uncomplicated birth of a newborn, focusing on neonatal assessment, the rationale for administering specific medications, and maternal assessment to initiate postpartum care.
Neonatal Assessment and Immediate Care
Upon delivery, the immediate care of the newborn begins with a focused cardiorespiratory assessment, which is crucial to ensuring the infant’s stability. The APGAR score is a quick and effective method for assessing the newborn’s physical condition at one and five minutes after birth. This score evaluates five criteria: Appearance, Pulse, Grimace response, Activity, and Respiration. Each criterion is scored from 0 to 2, with a maximum score of 10. A score of 7 or more indicates that the newborn is in good health, while lower scores may necessitate further intervention.
Initial Steps for Neonatal Resuscitation (NRP)
If the APGAR score is low, immediate steps outlined in the Neonatal Resuscitation Program (NRP) should be taken. These include:
1. Ensuring a clear airway: Suctioning if necessary.
2. Providing warmth: Placing the newborn under a radiant warmer.
3. Monitoring vital signs: Checking heart rate and respiratory effort.
The priority is to stabilize the newborn’s breathing and circulation, as these are vital for their immediate survival.
Medication Administration
IV Lactated Ringers (LR)
Lactated Ringer’s solution may be administered intravenously to maintain hydration or correct any imbalances in the newborn’s electrolyte levels. While it is not routinely given to all newborns, certain circumstances may warrant its use if the infant exhibits signs of dehydration or requires further medical intervention. Ensuring proper fluid balance is critical for maintaining normal physiological function.
Phytonadione (Vitamin K)
Phytonadione, or Vitamin K, is administered intramuscularly at a dose of 1 mg/0.5 mL to prevent Hemorrhagic Disease of the Newborn (HDN), a condition where the infant has inadequate clotting factors due to low Vitamin K levels. Newborns are born with low Vitamin K stores, making this intervention essential to prevent bleeding complications.
Erythromycin Ophthalmic Ointment
Erythromycin ophthalmic ointment (0.5%) is applied to each eye within two hours of birth as a prophylactic measure against neonatal conjunctivitis, particularly due to Neisseria gonorrhoeae and other bacteria that can be present during delivery. This medication helps prevent potential eye infections that could impair vision.
Maternal Assessment and Postpartum Care
In addition to focusing on the newborn’s care, assessing the mother’s condition is equally important. The nursing priorities for maternal assessment include:
1. Monitoring vital signs: Checking blood pressure, heart rate, respiratory rate, and temperature.
2. Assessing uterine tone: Ensuring that the uterus is firm to prevent postpartum hemorrhage.
3. Evaluating lochia: Observing the vaginal discharge for color, amount, and odor to detect any abnormal bleeding or infection.
4. Pain management: Providing appropriate analgesics for comfort.
5. Encouraging bonding: Facilitating skin-to-skin contact between mother and baby promotes bonding and breastfeeding initiation.
Initiation of Postpartum Care
Postpartum care involves educating the mother about self-care, recognizing danger signs such as excessive bleeding or severe pain, and promoting lactation. The nurse should provide support for breastfeeding and encourage early feeding to stimulate milk production.
Conclusion
In conclusion, immediate nursing care following an uncomplicated birth involves thorough neonatal assessment, prompt intervention when necessary, appropriate medication administration, and careful maternal monitoring. These actions are crucial in ensuring both the newborn’s and mother’s well-being during this critical period post-delivery. By adhering to these nursing priorities, healthcare providers can help foster a healthy start for the newborn while supporting maternal recovery.
