Neonatal
Content
Neonatal, or newborn, jaundice is a common medical diagnosis. Medical treatment typically consists of phototherapy, or placing the infant under lights or in a special lighted bed.
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One possible nursing diagnosis related to neonatal jaundice is Risk for Fluid Volume Deficit Related to Phototherapy. This is because the lights can dehydrate the baby. A nursing goal for this diagnosis would be: The infant will not exhibit signs of dehydration and will display appropriate weight gain. Assessing for signs of dehydration would be an important nursing action for this diagnosis. To do this, the nurse would assess for poor skin turgor by gently pinching the skin to see if it "tented" or kept its shape, which would indicate dehydration. The nurse would also look for depressed fontanels, sunken eyes, decreased urine output, weight loss and assessing blood lab values for changes in electrolyte levels. If dehydration was present, the nurse would replace lost fluid. The expected outcome would be that the baby will have good skin turgor and six to eight wet diapers per day and will maintain weight. This is an example of a risk diagnosis, in which care is aimed at preventing a problem.
Substance-Abusing Mother
One possible neonatal nursing diagnosis for a baby of a substanceabusing mother is Altered Nutrition, when the Baby Receives Less Than its Body Requires due to vomiting, diarrhea and an uncoordinated suck and swallow reflex because the baby is going through drug withdrawal.
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Note that there are two problem areas: Vomiting and diarrhea and uncoordinated suck and swallow reflex, both of which can make it hard for the baby to get enough nutrition. The goal: The infant will gain or maintain weight. Nursing interventions include: Assessing sucking and swallowing reflexes; using a bulb syringe to clear nose if infant has trouble breathing due to congestion and is therefore having trouble eating; position infant on right side after feedings to prevent vomiting. Expected outcomes would include tolerating feedings, maintain weight or gain weight as evidenced by no vomiting or inhaling of milk into lungs during feedings. Read more: Neonatal Nursing Diagnosis | eHow.com
http://www.ehow.com/about_6629396_neonatal-nursingdiagnosis.html#ixzz1GalcjMmd
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One possible nursing diagnosis related to neonatal jaundice is Risk for Fluid Volume Deficit Related to Phototherapy. This is because the lights can dehydrate the baby. A nursing goal for this diagnosis would be: The infant will not exhibit signs of dehydration and will display appropriate weight gain. Assessing for signs of dehydration would be an important nursing action for this diagnosis. To do this, the nurse would assess for poor skin turgor by gently pinching the skin to see if it "tented" or kept its shape, which would indicate dehydration. The nurse would also look for depressed fontanels, sunken eyes, decreased urine output, weight loss and assessing blood lab values for changes in electrolyte levels. If dehydration was present, the nurse would replace lost fluid. The expected outcome would be that the baby will have good skin turgor and six to eight wet diapers per day and will maintain weight. This is an example of a risk diagnosis, in which care is aimed at preventing a problem.
Substance-Abusing Mother
One possible neonatal nursing diagnosis for a baby of a substanceabusing mother is Altered Nutrition, when the Baby Receives Less Than its Body Requires due to vomiting, diarrhea and an uncoordinated suck and swallow reflex because the baby is going through drug withdrawal.
•
Note that there are two problem areas: Vomiting and diarrhea and uncoordinated suck and swallow reflex, both of which can make it hard for the baby to get enough nutrition. The goal: The infant will gain or maintain weight. Nursing interventions include: Assessing sucking and swallowing reflexes; using a bulb syringe to clear nose if infant has trouble breathing due to congestion and is therefore having trouble eating; position infant on right side after feedings to prevent vomiting. Expected outcomes would include tolerating feedings, maintain weight or gain weight as evidenced by no vomiting or inhaling of milk into lungs during feedings. Read more: Neonatal Nursing Diagnosis | eHow.com
http://www.ehow.com/about_6629396_neonatal-nursingdiagnosis.html#ixzz1GalcjMmd
