Newborn Nursing Diagnosis

[lagilvin]

Currently I am in my second semester of Nursing school. Right now I am doing my OB rotation and I am having the HARDEST time coming up with nursing diagnosis for newborns in the nursery. The newborn I did my paperwork on was very normal. She had normal vitals, and her physical assessment was normal. I already did one nursing diagnosis: Risk for Imbalanced Body Temperature because she was having trouble keeping her temperature above 97.7 F, but when she was placed underneath the warmer she quickly bounced back. I don't want to pick all "Risk for" diagnoses for my clinical paperwork, but that's what its looking like. HELP!!

[RunBabyRN]

How's feeding going? There are diagnoses for it going poorly and for it going well.

Why was she having trouble keeping her temp up? Dig a bit deeper. Was the baby in the room with Mom, or in a nursery? Was there something different about how this baby was bundled that kept her cool, or was she bundled like any baby, but still having trouble with her temp? This is a BIG thing with newborns, and it doesn't sound like a RISK diagnosis if she couldn't keep her temp up at room temp, if everything was the same as any other newborn.

[SopranoKris, MSN, RN, NP]

If her temp was too low, it's no longer a "risk for", she actually experienced it. The warmer was your nursing intervention.