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forgot to include: mom is a G5 thanks for your guidance!

Transcutaneous bili results fell within low risk zone wt. 3750g (~91 percentile), length 52.1 (~90 percentile), head circ 35.5 (~85 percentile) gestational age 39 4/7wks

Infant was greater than 36 hours old. stable; assessment findings were normal (other than LGA). Coombs was not indicated and baby's blood type matched the mother's. TCB was within low risk. Pertinent labs had not been ready for viewing. Mom did not have gestational diabetes, infant did not present with caput, cephalhematoma, bruising, broken clavicle, etc.

I'm thinking a psychosocial nursing dx would be most appropriate (maybe readiness for enhanced organized infant behavior ?) just a thought

Hey, Just needing some pointers about priority nurse dx for the neonate presenting large for gestational age. Here's some background data Actual Problems: Large for gestational age, precipitous birth. Unknown significant mother/father genetic predispositions (and family medical history) puts child at risk for inadequate disease management and derisory health promotion. Potential Problems: Hypoglycemia, polycythemia, hyperviscosity, potential problems resulting from precipitous birth include hypoxia, meconium aspiration and staining, low Apgar scores, and intracranial trauma. Difficulty being integrated into family (particularly by siblings). Here's how the neonate's presenting data after assessment: Objective Data (Neonate): No signs of hypoxia, hypoglycemia, polycythemia, hyperviscosity, meconium staining (or aspiration). Apargs of 8 and 9. No signs of intracranial trauma. Large for gestational age (neonate measures 3750g which falls above the 90th percentile. Newborn adequately tolerated multiple 2oz feedings throughout shift. *The neonate's blood sugar was not tested. No signs of cyanosis, GFR, or respiratory distress. Mother adapting to newborn appropriately. with all this stuff, I'm not confident in which way to take this care plan (in terms of nursing dx). Any help formulating my thoughts is greatly appreciated. thanks

with all that data you collected, what struck you?..what stuck out? what did you think was important? to get you started...what were the client's VS? how about their labs? any levels out of the ordinary? what about the medical diagnosis? how old was the person? did your client get out of bed during your shift? if not, why? all of your data collection via assessment, the chart, what the client tells you, what you get in report, etc will help you come up with a nursing dx sparks and taylors is a good resource