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I wish I could help with more nursing dxs for baby but man, mom is feeding him too much. If she were breast feeding, the baby would be getting a few mls of colostrum per feeding for the first couple of days until the milk came in. So all this formula will just get spit up. I suppose you could add a dx for impaired tissue integrity because his skin could get some irritation if he is left in a sleeping position. I just cracked my ped nursing book. I'll take a peek.
I agree with the previous poster. If he was eating what he's suppose to be eating (breastmilk), he most likely wouldn't be having these issues. Not only do formula fed babies/kids get fed too much, but a lot of the time there's issues with trying to digest it....hence the reason why there's so many different kinds of formula. Poor kid! :/
Anyway, I think all the nursing dx you have work pretty well....I would add risk for constipation (one of the problems formula fed babies have) and if there was such a dx as risk for acid reflux (another problem formula fed babies have). Good luck!
RNkeepLearning
2 Posts
In my OB clinic last week. I cared for a newborn male child. For his first feeding he took 30ml!! And his mother reported him spitting up a lot of it, and at 12:30 a second feeding of 60 ML. YES TWO OUNCES! Naturally, the infant spit up all of that. During my assessment I had the child side-lying and held him facing downward slightly d/t his spitting up, and used a bulb syringe to evacuate the formula. I was worried he would asparate... The mother requested a formula change, she felt the babe was allergic to the formula, so he was switched to a sensitive formula. Gentle pt ed by the RN taking care of baby, while I shadowed, was done about the size of a one day old infant's stomach (size of a cherry), and the need for small feedings and frequent burps. I can understand, when a chlid cries everyone always wants to feed it thinking it's hungry. Sometimes, they just want to be hugged and patted or a pacee for soothing. At any rate. I have to do a nursing care plan for Baby, not mom. Other then the emesis he is a perfect beautiful baby boy, c-sec birth, 7#9oz!
Is Risk for imbalanced fluid volume r/t frequent emesis after feedings,
Or Risk for electrolyte imbalance r/t frequent emesis after feedings,
Or Risk for Aspiration r/t frequent emesis after feedings,
Or Risk for aspiration r/t mom not being receptive to patient education. (I AM JUST KIDDING!! THAT IS TOTALLY NOT A NU DX I WOULD USE! (however, it is truly frustrating to see that little baby vomiting so much.
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ARe there nursing care plan books for infants/OB/Peds? I am using my Ninth Ed. NDH by Ackley/Ladwig...
THANKS! CC