| Course | PA 618 Clinical Clerkship - Pediatrics |
|---|---|
| Week | 8 |
| Paper type | Newborn nursery note |
| Length | About 480 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Physician Assistant Studies (MPAS) |
| Updated | October 2026 |
Free sample paper for PA 618 Week 8
Newborn Nursery Note at 26 Hours of Life: A Grid of Short Fields Rather Than Paragraphs, a Source Beside Every Entry, Not Applicable Written as an Answer, the Fields I Completed Myself and What the Parents Were Told
Student Name
Chamberlain University
PA 618: Clinical Clerkship - Pediatrics
Instructor Name
Month Day, Year
Newborn Nursery Note at 26 Hours of Life: A Grid of Short Fields Rather Than Paragraphs, a Source Beside Every Entry, Not Applicable Written as an Answer, the Fields I Completed Myself and What the Parents Were Told
The Grid
Table 1
Newborn Nursery Note, Baby Girl R.
| Field | Entry | Source |
|---|---|---|
| Infant | Baby girl R., born April 27, 2026, 06:12 | Delivery record |
| Age at examination | 26 hours | Calculated |
| Gestational age | 39 weeks 2 days | Prenatal dating ultrasound |
| Delivery | Spontaneous vaginal; Apgar 8 and 9 | Delivery record |
| Birth weight / today | 3,420 g / 3,290 g, down 3.8 percent | Nursery scale |
| Feeding | Breastfeeding every 2 to 3 hours, 9 feeds in 24 hours | Nursing flowsheet |
| Output | 4 wet diapers, 3 meconium stools | Nursing flowsheet |
| Maternal blood type and antibody screen | O positive, negative | Prenatal labs |
| Group B streptococcus | Negative at 36 weeks | Prenatal labs |
| Maternal serologies | HIV, hepatitis B, syphilis negative; rubella immune | Prenatal labs |
| Vitamin K and eye prophylaxis | Given at 07:00 | Medication record |
| Hepatitis B vaccine | Given at 08:15 | Medication record |
| Transcutaneous bilirubin | 6.8 mg/dL at 24 hours, low-risk | Nursery device; risk tool |
| Critical congenital heart disease screen | Passed at 24 hours, 98 and 99 percent | Nursing flowsheet |
| Hearing screen | Passed both ears | Audiology |
| Newborn metabolic screen | Collected at 24 hours | Laboratory requisition |
| Circumcision | Not applicable | Not applicable |
| Examination | Normal, including red reflexes both eyes, hips stable, palate intact, femoral pulses present | My examination, 08:30 |
Note. Note. Every entry carries the record or person it came from.
Every Entry Has a Source
Most of the grid comes from other records. Only the examination line is mine. The source column makes that visible.
Not Applicable Is an Answer
Circumcision reads "not applicable" rather than being left blank, so a reader knows it was considered.
The Fields That Are Yours
I examined the baby at 08:30, checked the red reflexes and hips, and confirmed the weight loss percentage. The other fields I verified against their source records.
What the Parents Were Told
Weight loss of 3.8 percent is within the expected range at this age; breastfeeding is going well; the bilirubin is low risk; the baby can go home tomorrow if feeding continues, with a weight and jaundice check within 48 hours of discharge, consistent with guidance on follow-up after a newborn's hospital stay (Benitz & Committee on Fetus and Newborn, 2015).
Before discharge the parents also heard what should prompt a call: too few wet diapers once milk is in, yellow skin that reaches the belly or legs, or a baby who will not wake for feeds.
References
Benitz, W. E., & Committee on Fetus and Newborn. (2015). Hospital stay for healthy term newborn infants. Pediatrics, 135(5), 948-953. https://doi.org/10.1542/peds.2015-0699
The Chamberlain PA 618 Week 8 instructions
The final week asks for a newborn nursery note that is a grid of short fields rather than paragraphs, built so a reader can find one item without reading the rest. Put a source beside every entry: the delivery record, prenatal labs, the nursing flowsheet or your own examination. Write "not applicable" where a field does not apply, rather than leaving it blank. Make clear which fields you completed yourself. Close with what the parents were told. If your case says nothing about a field on the form, write that it is not documented rather than inventing a value. There is little prose in this document, but a short note on what was told to the parents is expected. Cite guidance behind follow-up timing.
Inside the PA 618 Week 8 example
A table holds eighteen fields for baby girl R. at 26 hours of life: birth date and time, 39 weeks 2 days, Apgars of 8 and 9, a weight fall from 3,420 to 3,290 grams, nine feeds, four wet diapers and three stools, maternal O positive with a negative screen, negative group B strep, negative serologies with rubella immunity, vitamin K and eye prophylaxis, hepatitis B vaccine, a bilirubin of 6.8 at 24 hours, a passed heart screen at 98 and 99 percent, a passed hearing screen, a collected metabolic screen, circumcision not applicable and a normal examination, each with its source. Sections explain sources, "not applicable," the student's own fields and what the parents were told, citing Benitz & Committee on Fetus and Newborn (2015) for follow-up within 48 hours of discharge.
Reading the PA 618 Week 8 grading rubric
Nursery notes lose the most when written as paragraphs, which buries the item a reader is looking for. Next comes entries without sources, so a reader cannot tell a transcribed result from an examination finding. Graders deduct for blank fields that should read "not applicable" or "not documented." Faculty reward a complete grid, sources beside every entry and the writer's own fields identified. Accurate calculation of weight change is checked. A short record of what the parents were told, with guidance-based follow-up, completes the core. Citation in APA form finishes the rubric.
PA 618 Week 8 help from the desk
Nursery notes most often fall short by narrating the birth and the first day instead of filling fields. Another common problem is inventing values for fields the case does not mention. Some notes also forget the screens that must be documented before discharge. If your newborn's details differ, send the delivery record, prenatal labs, nursing data and your examination; a note prepared for you would set out a sourced grid, mark fields not applicable or not documented, identify your own findings and record what the parents heard. If your nursery uses a specific form, the grid would follow its order.
Get a PA-618 Week 8 example written to your instructions
Send the template your section uses, with the case detail it provides, and a custom note is written into that shape and returned inside 24-48h, the first one free. Fields your case leaves open stay visible in the example rather than being filled with something plausible, so you can see what is missing.
More PA 618 papers and MPAS samples
- PA 618 Week 1: Third Adult in the Room Post
- PA 618 Week 2: Three-Party Encounter Write-Up
- PA 618 Week 3: Assent Documentation Brief
- PA 618 Week 4: Family-Centered Rounds Brief
- PA 618 Week 5: Anticipatory Guidance Sheet
- PA 618 Week 6: Parent Phone Call Note
- PA 618 Week 7: School Return Letter
- PA 616 Week 8: Chief Resident Feedback Reply
- PA 614 Week 8: End of Shift Summary
- PA 612 Week 8: Day of Discharge Checklist
- PA 648 Week 8: Remediation Sign-Off Narrative
PA 618 Week 8 questions, answered
The form has fields my case says nothing about.
Mark them rather than leaving them blank. Not applicable, not available, or awaiting a result with the time it was chased: each says something different and all three beat an empty box. An example built on a thin case shows exactly which fields the case cannot fill, which is more useful than a note that fills them with something plausible.
Is there any prose in this document at all?
Two or three sentences at the end, and they carry the only judgment in the whole thing. That is where an unresolved item goes, where the plan for the first outpatient visit sits, and where anything the parents were told is recorded. Sections that mark this week hard tend to mark that part hardest, because the rest is transcription.
Can I write the examination fields from the case description?
In a constructed example, yes, and that is what a sample is: a model built beside your case rather than a record of anything. In a live chart the rule is the opposite, since the only person who can enter an examination field is the one who performed it, and a note carrying somebody else's findings under your name is a different problem entirely.
Where can I find a free PA 618 Week 8 sample paper?
This page carries the complete PA 618 Week 8 newborn nursery note at 26 hours of life, written as a sourced grid.
What follow-up do the parents hear about in the PA 618 Week 8 sample?
A weight and jaundice check within 48 hours of discharge, with discharge the next day if feeding continues well.