remember that a care plan is about the nursing problems of the patient. the baby is the patient
. forget that the baby is going to be given up for adoption. think about what the nurses are doing for this baby each minute of the day because this baby cannot care for itself, can it? none of the babies in the newborn nursery can. all care plans
begin with assessment of the patient and determination of their adls.
think about what you know about the assessment findings of a normal newborn compared to an adult. what's different? for one thing newborns can't regulate their body temperature which is why we don't leave them exposed to the room atmosphere for very long with just a diaper covering them. that's ineffective thermoregulation r/t immature compensation for changes in environmental temperature.
[see Newborn Nursing Diagnosis
for information on thermoregulation of temperature in newborns and nursing interventions.] some newborns just have a few difficulties with excessive secretions in the respiratory track (the big hint here is that the nurses will keep a bulb syringe nearby the baby) so ineffective airway clearance
can be used. they also have a stump from the umbilical cord hanging off their future belly button. do you? are they treating this cord stump? if it's inflamed or there are umbilical cord problems there is risk for infection, so you can use risk for infection r/t break in skin integrity at umbilical cord site
([color=#3366ff]risk for infection
if the baby has been circumcised that is another reason for a risk of infection. is this baby breastfeeding? if so, use effective breastfeeding.
and, some babies just don't start feeding well at first by breast or bottle--it happens. these kids are imbalanced nutrition: less than body requirements r/t poor infant feeding behaviors
([color=#3366ff]imbalanced nutrition: less than body requirements
use risk for infection r/t break in skin integrity at umbilical cord site
. the risk factor is that if the cord comes off or is traumatically removed instead of falling off on its own it creates an open skin area which is the actual potential for infection as a result of open skin area.
for ineffective thermoregulation r/t immature compensation for changes in environmental temperature.
see Newborn Nursing Diagnosis
for information on thermoregulation of temperature in newborns and nursing interventions. it has links to this website: http://www.who.int/reproductive-heal...apter2.en.html
you can use imbalanced nutrition: less than body requirements r/t poor feeding behaviors
when babies don't start feeding well at first by bottle. just describe their fussiness with feeding, poor intake amount or other little problems that are going on.
if the baby is under the bililight for hyperbilirubinemia the nursing diagnosis to use is risk for injury r/t phototherapy
([color=#3366ff]risk for injury