Published Feb 14, 2009
Cnotice
1 Post
Hi. I'm writing a care plan on a newborn. I didn't see the actual medical diagnosis, but the nurse I was shadowing said that the baby had "chorio." I thought that would be enough, but then, I found out that it's short for something... but for what? I've come across multiple diagnoses that being with "chorio."
Help is appreciated. Thanks!
Daytonite, BSN, RN
1 Article; 14,604 Posts
a care plan is based on the assessment you do of the patient and the abnormal signs and symptoms you found. diagnoses are based upon symptoms. i realize that you probably have a section of pathophysiology that you need to complete on a care plan, so i can't help you there because i didn't see the chart either, but i can help you with other diagnoses for newborns. 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 https://allnurses.com/forums/f50/newborn-nursing-diagnosis-346647.html 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).
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).