Newborn Nanda Help!

[SnarfGirl]

Agh! I'm in the last 2 weeks of my 2nd block of nursing school and I've hit a wall. I have to do a careplan on a newborn. I did my assessment and got all the data I need from the hospital - but I'm seriously overworked, and tired and trying to study for my NCLEX-PN to take in a few weeks and I just need some help. I've got just about everything done accept the 3 priority nandas. So far I've got Risk for imbalanced body temperature, risk for infection (circumcision) and I can't think of the third! And of course I need interventions for all three. I'm not asking for someone to do this for me....I'm just really frazzled and need direction. My careplan books are not helping with this newborn thing....I wish I would have chosen to do the mother!!!! It's late and the more tired I get the less I can think! Thanks - for anything you can offer....websites or anything!!!!

[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).

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).

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