NUR 634 Topic 15 DQ 1

Discussion: Select one pediatric-focused condition or disorder.

NUR 634 Topic 15 DQ 1 Assessment Description

Select one pediatric-focused condition or disorder. Then complete the following:

1. Briefly discuss the condition/disorder.
2. Describe the symptoms and physical exam findings associated with the condition/disorder.
3. Identify appropriate laboratory, imaging, or other diagnostic/screening tools that apply to the disorder and explain how they will help you with your diagnosis.
4. List two other conditions that could cause a similar presentation (differential diagnoses) and explain how you would “rule out” those differentials.
   

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Support your description with a minimum of two APRN-approved scholarly resources. NUR 634 Topic 15 DQ 1 You may not select a condition or disorder that has already been profiled by another learner; you must select a different one.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 1.2, 1.3.

NUR 634 Topic 15 DQ 1 Sample

Neonatal sepsis is a pediatric emergency associated with an increased risk of morbidity and mortality characterized by signs and symptoms of bacteremia within the first 28 days of life in term and preterm neonates. The condition is caused by a reduced host immune system that favors the infective process of bacterial pathogens whose spread is either transplacental or hematogenous (Mezgebu et al., 2023). Early neonatal sepsis occurs within the first three days of life, while late neonatal sepsis occurs from day four of life. Common risk factors include chorioamnionitis, prematurity, low birth weight, and maternal group B streptococcal infection.

Neonatal sepsis symptoms include decreased levels of consciousness, fever, hypothermia, irritability, poor feeding, lethargy, convulsions, inability to retain feeds, rash, difficulty breathing, and jaundice. NUR 634 Topic 15 DQ 1 Physical examination findings may reveal temperature instability with hypothermia or fever, tachypnea, grunting, hypoxia, poor feeding, pustular rash, tachycardia, poor perfusion, and hypotension (Odabasi et al., 2020). However, bradycardia, delayed capillary refill, bulging fontanelles, apnea, pus oozing from the umbilicus, severe chest wall in-drawing, oliguria, and evidence of coagulopathy such as petechial hemorrhages are findings of complicated neonatal sepsis.

A complete blood count is a vital test where leukocytosis is characteristic of the diagnosis. However, findings of thrombocytopenia and leukopenia may indicate severe and complicated neonatal sepsis. Additional tests needed in the evaluation include liver function tests and basic metabolic panels crucial in detecting neonatal sepsis NUR 634 Topic 15 DQ 1 complications and monitoring the patient (Yadav et al., 2022). Microscopy, culture, and sensitivity for pus from the umbilicus and pustular rash or cerebrospinal fluid help identify causative agents. Coagulation tests are crucial in excluding any associated coagulopathy. Some signs and symptoms seen in neonatal jaundice and severe neonatal respiratory distress syndrome are similar to neonatal sepsis. A complete blood count is thus the most crucial test that helps distinguish the two conditions from neonatal sepsis.

NUR 634 Topic 15 DQ 1 References

Mezgebu, T., Ossabo, G., Zekiwos, A., Mohammed, H., & Demisse, Z. (2023). Neonatal sepsis and its associated factors among neonates admitted to the neonatal intensive care unit in Wachemo University Comprehensive Specialized Hospital, Southern Ethiopia, 2022. Frontiers in Pediatrics, 11. https://doi.org/10.3389/fped.2023.1184205

Odabasi, I. O., & Bulbul, A. (2020). Neonatal Sepsis. The Medical Bulletin of Sisli Etfal Hospital, 54(2), 142-158. https://doi.org/10.14744/SEMB.2020.00236

Yadav, P., & Yadav, S. K. (2022). Progress in Diagnosis and Treatment of Neonatal Sepsis: A Review Article. JNMA: Journal of the Nepal Medical Association, 60(247), 318-324. https://doi.org/10.31729/jnma.7324 NUR 634 Topic 15 DQ 1