[TABLE=class: MsoNormalTable] [TR] [TD=width: 131] Nursing Diagnosis [/TD] [TD=width: 132] Expected Client Goal and Outcome Criteria [/TD] [TD=width: 132] Nursing Interventions [/TD] [TD=width: 132] Underlying Scientific Principle(s) of Nursing Interventions [/TD] [TD=width: 132] Evaluation [/TD] [/TR] [TR] [TD=width: 131] Impaired gas exchange r/t premature birth m/b Gestational age [/TD] [TD=width: 132] 1. Adequate gas exchange AEB PaO2 is 60-70 mm Hg, PaCO2 is 35-45 mm Hg 2. Maintain adequate body temp 3. Short-term goal: Decrease signs and symptoms of respiratory distress 4. Long term goal: No signs of respiratory distress AEB maintaining O2 sats >90% in room air with no grunting or retractions [/TD] [TD=width: 132] 1. Monitor vital signs, O2 Saturations, and arterial blood gases as ordered. Suction airway as indicated and administer oxygen prn per order 2. Monitor temp of baby and Isolette 3. ST-Administer corticosteroids per order 4.LT- Cluster nursing care, administer oxygen as needed, antibiotic treatment as ordered [/TD] [TD=width: 132] 1. To maintain adequate gas exchange and therapeutic blood gas levels 2. To maintain an adequate body temp. 3. ST-Reduced respiratory distress syndrome 4. To decrease oxygen demand and have no signs of respiratory distress [/TD] [TD=width: 132] 1. Goal met AEB O2 saturation s >90%, HR 120-160 bpm, arterial blood gases WNL, PaO2 is 60-70 mm Hg, PaCO2 is 35-45 mm Hg 2. Goal met. AEB Temp. at 36.5-37.5C 3. Goal met. Decreased signs and symptoms of respiratory distress AEB decreased retractions, grunting, nasal flaring or cyanosis 4. Goal not met AEB decreased but continued retractions, grunting, nasal flaring, cyanosis and rales auscultated in bilateral upper lobes [/TD] [/TR] [/TABLE] This is my care plan. Reference Durham, R., Chapman, L., Maternal-Newborn Nursing 2nd ed: the critical components of nursing care, 2014; F. A. Davis Company, Philadelphia, PA