Need help with a Neonate carepaln

[williamm62]

i am in need of 2 nursing diagnosis, interventions and outcomes for a neonate who was lga 4782 gm whose glucose level was 38 after admin of glucose and water it raised to 56 at 5 hours after birth. other than that it was completely normal alert and no signs of being hypoglycemic. the mother did not have gestational diabetes.

sometimes i feel it is harder to do a care plan on a healthy baby.

any suggestions would be appreciated.

[Daytonite, BSN, RN]

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. 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 circumscribed 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).

the underlined blue type are a weblinks to nursing diagnosis pages with nanda information and some goals and nursing interventions.

[williamm62]

Thank you for your quick reply.. Will the baby being LGA increase the risk of either of these. My clinical instructor gave me a hint about closely monitoring the glucose level in the care plan.. How could I work that in?

[Daytonite, BSN, RN]

Risk for Unstable Blood Glucose, and/or

Risk for Disproportionate Growth

[williamm62]

Perfect Thanks..!!!!

[JINSE KJ]

all nursing diagnosis for large for gestational age?