Scenario practice 2.docx

**Scenarios practice 2** **Teething / Babies** Jan is a new mother to 8 month old Tom. Tom has 2 bottom teeth. Jan has come to talk to the registered nurse at Tawa Medical Centre because she is concerned about Tom's teething. 1. **[Jan asks you when she should begin brushing Tom's teeth -- what...

**Scenarios practice 2** **Teething / Babies** Jan is a new mother to 8 month old Tom. Tom has 2 bottom teeth. Jan has come to talk to the registered nurse at Tawa Medical Centre because she is concerned about Tom's teething. 1. **[Jan asks you when she should begin brushing Tom's teeth -- what do you advise?]** 6-8 months of age, **as soon as the first tooth comes through** 2. **[Jan says she sometimes gives Tom his bottle when he goes to bed -- is this a good practice, explain your answer:]** 3. **[Jan asks your advice about what to give Tom for snacks during the day, what foods do you advise?]** 4. **[What common signs and symptoms are infants likely to encounter when teething? ]** 5. **[List 4 interventions that you could advise Jan to use when Tom has symptoms: ]** **Health Promoting during Pregnancy** **[Jeff and Lisa are expecting their first baby. Both are smokers and they want to know]** **[what effects smoking may have on their child. Outline the advice you would give]** **[and why?]** Advise Jeff and Lisa to quit smoking during pregnancy. Smoking can lead to low birth weight, preterm labor, and developmental issues in the baby. **[Marama is 18 weeks pregnant. She has heard about women losing their babies from eating shellfish during pregnancy. Outline ways Marama can reduce her risk of Listeria infection.]** Advise Marama to avoid eating raw or undercooked shellfish during pregnancy. Ensuring proper food handling, storage, and hygiene practices. **[Diane has hepatitis B. She asks how her baby can be protected from infection following birth. What would you tell her?]** Inform Diane about the importance of vaccinating the baby against hepatitis B immediately after birth. Breastfeeding is generally safe unless there are open sores or bleeding on the mother\'s nipples. **[Elaine has a cat. She has heard that a disease called toxoplasmosis can be caught from cats and causes the baby to die. Describe toxoplasmosis to her and discuss her options.]** Explain to Elaine that toxoplasmosis is an infection caused by a parasite found in cat feces, soil, and undercooked meat. Advise her to avoid cleaning the cat\'s litter box and to wash hands after handling the cat. Discuss the option of having someone else clean the litter box during pregnancy. **[Esther has Herpes Virus Type 2. What implications may this have for her pregnancy and delivery?]** Discuss with Esther the potential risk of transmission to the baby during vaginal delivery if she has active herpes lesions. Antiviral medications may be prescribed to reduce the risk. **[Alice is in her 10th week of pregnancy. She is wondering if it is ok to have a glass of wine with her meal each night. Outline your response.]** Advise Alice to avoid alcohol during pregnancy as it can harm the baby\'s development. No amount of alcohol is considered safe during pregnancy. **Procedure for testing blood glucose using a digital glucose meter** - Check expiry date of stixs - Turn on glucose meter - Calibrate the machine: check the number on the stixs is the same as the number that appears on the machine - Insert one stix into meter - Select depth of needle penetration- 2 is usually fine. - Twist the pen body to make it ready for new needle. - Pick up new needle, insert into opening until it clicks into place. This also sets the trigger - Wash your hands and put on gloves - Have the person wash their hands (this cleans any residual sugar which may be on the skin and warm water wash assists blood flow in fingers) - Choose to prick the SIDE of the finger NOT the end. Nerve endings in the end of the finger cause pain. - Apply device tightly against the skin on side of the finger - Push blue trigger - Apply drop of blood to meter strip - Wait for appropriate time and machine will give a reading - If bleeding does not occur, ask client to place hands in warm water to aid blood flow - Dispose by pressing blue end of device while holding needle end over a sharps disposal container -- NEVER leave needle in the device - Wipe away excess blood on finger. Cover if necessary - Record result - A blood glucose level below 4mmol/l is referred to as being hypoglycaemic. - A blood glucose level above 4mmol/l is referred to as being hyperglycaemic.\_\_ **[Explain why you should not use alcohol wipes when performing a finger prick test to measure blood glucose levels]** - Alcohol wipes should not be used when performing a finger prick test to measure blood glucose levels because alcohol can interfere with the accuracy of the test. **Remember that your clinical placements will have policies and procedures that guide you on treatment of hypo's. Please ensure that you read policies and procedures folder on all clinical placements.** - **Hypoglycaemia is a condition characterised by low blood sugar levels, while hyperglycaemia is a condition characterised by high blood sugar levels.**