Nanda nursing diagnosis for cephalohematoma

[UNCERTAIN STUDENT]

Ok i am doing a project for school and we have to do a nursing diagnosis for cephalohematoma. It has to be the highest priority for this condition. I have read all about cephalohematoma and i really cant figure out if risk for bleeding or knowledge deficit is the most important. Please help me!!!! I also need to have the related to and as evidence by part too. Unless of course i need to use risk for bleeding then there is no evidence by. O and another thing there is no other details, for instance we dont have a patient it's just a project. Any help would be greatly appreciated

[eyoliver]

bleeding always trumps knowledge deficit

[yooperPN]

Wouldn't pain be a priority nursing diagnosis? I may be wrong, but it seems to me that it's pain, not necessarily the bleeding. From what I looked up on cephalohematoma, it's just tissue tears in the scalp from being born through the lady partsl canal, or use of forceps/vacuum. So, in my head, pain is a definite.

[UNCERTAIN STUDENT]

well i read a previous blog about something to do with jaundice too. would that be priority over any of those suggestions. just curious.

[sunnysideup09]

A cephalohematoma means bleeding has already occurred in the scalp. The newborn is at a higher risk for developing jaundice. Risk for injury would be appropriate as would knowledge deficit. Actual NANDAs always come before Risk for NANDAs. Parents would need to be aware of how long the cephalohematoma would take to go away, when to notify the doctor in case of increasing lethargy/jaundice, etc. Newborns do not react with any pain responses when cephalohematoma area is assessed. I wouldn't recommend pain since I have never seen any pain medication or any nonpharmacological means done for a cephalohematoma. Hope this helps!

[UNCERTAIN STUDENT]

Thank you so much for all your help. And yes it helps alot.