Published Dec 9, 2019
guest1134757
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?
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.
_Cecilia_, BSN, RN
2 Articles; 73 Posts
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/.