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jaundice/dehydration nursing diagnosis

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by guest1134757 guest1134757 (Member)

240 Profile Views; 4 Posts

having a hard time coming up with diagnoses for my nb postpartum care plan....

-Pt had a serum bilirubin level of 11.4 mg/dL.

-Was put on phototherapy.

-Not breastfeeding well: mom has short/flatter nipples, the baby has a poor sucking reflex/not latching

-sunken anterior fontanel

-7 lb 2 oz; 19 1/2 inches long; 32.5 cm (head circumference) and delivered at 37 weeks and 5 days

would it make sense to do something to do a dehydration diagnosis? or is a sunken fontanel in itself not enough evidence?



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4 Posts; 240 Profile Views

this is the only diagnosis i have so far...

Neonatal jaundice related to neonate aged 1 to 7 days and feeding pattern that is not well established as evidenced by yellow-orange skin and serum bilirubin level of 11.4 mg/dL.

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_Cecilia_ is a BSN, RN and specializes in Pediatrics.

2 Articles; 70 Posts; 1,164 Profile Views

I would try, "Deficient fluid volume related to ineffective breastfeeding as evidenced by sunken anterior fontanelle."

Follow P.E.S.: Problem, Etiology, Signs and Symptoms

Problem: Deficient Fluid Volume (aka Dehydration)

Etiology: Ineffective breastfeeding (aka poor infant sucking reflex/flat nipples)

Signs and Symptoms: Sunken anterior fontanelle

I used this as help: https://nurseslabs.com/nursing-diagnosis/.

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