During the first 36 hours after birth. nurses in the neonatal unit carefully watch the baby for irritability and abdominal distension. They note that she has passed no stool since birth. Which of the following has to be considered? a. This is a common manifestation among most newborns and should not cause concern. b. Down syndrome babies occasionally have a serious gastrointestinal blockage that requires surgery. c. The baby may be showing signs of a gastrointestinal allergy to her mother’s breast milk.

Upon examination of the new infant. the pediatrician detects a heart murmur. Which of the following is the most accurate and appropriate statement for heart murmur? a. Heart murmurs are common to many infants and usually resolve within one month after birth. b. Heart murmurs are benign and not a cause for concern. c. A heart murmur in a child with Down syndrome may be a sign of a heart defect. However: further testing is necessary before a heart defect can be diagnosed. d. A heart murmur in a child with Down syndrome is diagnostic for a heart defect and surgery should be performed as soon as possible to prevent the onset of heart failure and pneumonia.

I need a reflective journal about a patient that I take care of. My patient was a 74 years old female full code allergy to ciprofloxacin. She came to the hospital because her husband found her unconscious and unresponsive. He called the EMS right away. He also stated that she’s not alert and oriented to time, herself, events, days sometimes. But when I was taking care of her days after her admissions, he read her documentation.

Her nurse noted that she was getting better in reminding things, her name, she’s more alert. She have a past medical history of type 2 diabetes, hypertension which is being control by meds, hernia, asthma she was on a 2L nasal cannula. In my shift I took her blood glucose 3 time it was normal level, and vitals was normal expect for  her blood pressure didn’t improve at all. That’s pretty much about her.

Reflect upon a decision you have made or a problem you have solved in the past year.  Apply at least one theoretical approach to the problem/decision.  Use reflection to discuss the situation as well as the following;  What would you have done differently, if at all?  Identify if you were in a leadership or management position.  How would this situation be different if you were in the other position?

Everyone has unique needs, and you addressed the care plan in detail. The Community Preventive Services Task Force (CPSTF) recommends community education and behavioural interventions for adolescents to improve the development of reducing STIs, HIV, and teen pregnancy.

Topics to address include interventions that focus on improving decision-making, communication skills, and positive bonding experiences between youth and their peers or non-parental role models to reduce poor sexual behaviors in this population.

Screening for STIs is vital in people having unprotected sex (Community Prevention Services Task Force [CPSTF], 2007).

During which stage of the health plan would you implement screenings for this population?

Please answer with references