Newborn nursing dx? Spitting up?

[jsta_grl83]

Hi! I am a nursing student and we just started an OB clinical rotation. I have a perfectly healthy newborn that I am doing a database on, and I am searching high and low for at least one nursing dx that I can use regarding this infant. So far, the only thing I can come up with is that he spits up frequently - more than the other babies, and the nurse has put in his chart that he is "Very spitty". Could I have do something regarding that, like "risk for aspiration" or something? Any ideas?

Thanks for any suggestions!

[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 circumcised 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.