Peds terrifies me

[mb09]

I'm in my last semester of nursing school and am doing peds and ob this semester. I have been looking foward to this semester but my instructor is so picky about our care plans. We have to have 3 nursing dx one being a psychosocial dx. I've already taken Psych nursing, but for some reason adding peds to the mixture of psychosocial dx has thrown me totally off. I'm freaking out because I'm just ready to be done with nursing school!

My first patient at the peds rehab center was:

6month old term infant with dx of omphalocele, the parents are not able to be there due to financial reasons. The infant is accomplishng the skills of a 6 month old. she is trach/vent dependent, ngt dependent. My #1 nursing d/x was risk for ineffective airway clearance...#2 was risk for infection (which my instructor stated was no longer an issue with her omphalocele b/c it had almost completely epitheliazed) #3 was readiness for enhanced communication r/t the infant trying to mimic sounds made with mouth, smiling at self in mirror etc. (which this is apparently not a psychosocial nursing dx)

i was wondering if anyone could help me out and let me know what I did wrong. Thanks so much! I'm sure I'll be posting more throughout the semester because Peds nursing dx/interventions are not my strong point and I just really want to finish nursing school!!! PLEASE HELP!!!

[Jolie, BSN]

I think the absence of the parents could be addressed by a psychosocial nursing diagnosis.

[Purple_Scrubs, BSN, RN]

Also remember that in Peds, the whole family is really your "patient", at least a lot of us tend to think that way (and I think we should). Think about what the parents must be going through not being able to be with and bond with their child. I seem to remember something about altered family processes but it's been a long time since I have done NANDA diagnoses.

[inland18mempire]

i really disliked the screaming, crying babies/toddlers. uggggggh