So I have to do a nursing care plan (a.k.a., Nursing Process Report/NPR). And I'm still rather unsure how this spiel works out.
I was on a newborn nursery unit on Tuesday, and I picked out a newborn baby to look at the charting and do my assessment on. But the baby was pretty much normal and A-OK, so I don't even know if I'd have nursing diagnoses that I could do a care plan on.
(For my class's care plan, by the way, I just have to pick 1 Nursing Diagnosis and do the care plan on that.)
Anyhoo, I scoured through my data sheet, and the baby DID have a blood glucose test run because he was 9 lbs. 3 ozs., and I think that the hospital's policy is to automatically run a glucose test if the baby's bigger than 9 lbs. The baby's blood glucose was 49, which was one below the minimum 50. Hypoglycemia, eh?
So I figured I'd find a nursing diagnosis on that.
I have a maternity-specific care plans book with me. It's called "Maternal Newborn Nursing Care Plans" (2nd ed.) by Carol J. Green. I'm scouring through it to find an appropriate diagnosis for this baby, but I can't find any.
There's this one Nursing Diagnosis that says "Risk for Impaired Gas Exchange", and right underneath it says "Related Factors: meconium aspiration, polycythemia, hypothermia, and hypoglycemia".
Oooh! I thought. It says "Hypoglycemia".
So should I write "Risk for Impaired Gas Exchange r/t hypoglycemia" as my nursing dx?
