This document provides two nursing diagnoses and associated nursing interventions, rationales, and outcomes for a neonatal client.
The first diagnosis is neonatal jaundice. Interventions include evaluating total and direct bilirubin levels every 12-24 hours and assessing ability to breastfeed. Rationales discuss the importance of monitoring jaundice levels and promoting adequate hydration and feeding. Outcomes include decreasing bilirubin levels and demonstrating proper breastfeeding techniques.
The second diagnosis is ineffective breastfeeding. Interventions include educating on proper breastfeeding positions and infant feeding cues. Rationales discuss how positioning promotes latching and reading infant cues. Outcomes include demonstrating proper positions and verbalizing infant feeding cues.
This document provides two nursing diagnoses and associated nursing interventions, rationales, and outcomes for a neonatal client.
The first diagnosis is neonatal jaundice. Interventions include evaluating total and direct bilirubin levels every 12-24 hours and assessing ability to breastfeed. Rationales discuss the importance of monitoring jaundice levels and promoting adequate hydration and feeding. Outcomes include decreasing bilirubin levels and demonstrating proper breastfeeding techniques.
The second diagnosis is ineffective breastfeeding. Interventions include educating on proper breastfeeding positions and infant feeding cues. Rationales discuss how positioning promotes latching and reading infant cues. Outcomes include demonstrating proper positions and verbalizing infant feeding cues.
This document provides two nursing diagnoses and associated nursing interventions, rationales, and outcomes for a neonatal client.
The first diagnosis is neonatal jaundice. Interventions include evaluating total and direct bilirubin levels every 12-24 hours and assessing ability to breastfeed. Rationales discuss the importance of monitoring jaundice levels and promoting adequate hydration and feeding. Outcomes include decreasing bilirubin levels and demonstrating proper breastfeeding techniques.
The second diagnosis is ineffective breastfeeding. Interventions include educating on proper breastfeeding positions and infant feeding cues. Rationales discuss how positioning promotes latching and reading infant cues. Outcomes include demonstrating proper positions and verbalizing infant feeding cues.
This document provides two nursing diagnoses and associated nursing interventions, rationales, and outcomes for a neonatal client.
The first diagnosis is neonatal jaundice. Interventions include evaluating total and direct bilirubin levels every 12-24 hours and assessing ability to breastfeed. Rationales discuss the importance of monitoring jaundice levels and promoting adequate hydration and feeding. Outcomes include decreasing bilirubin levels and demonstrating proper breastfeeding techniques.
The second diagnosis is ineffective breastfeeding. Interventions include educating on proper breastfeeding positions and infant feeding cues. Rationales discuss how positioning promotes latching and reading infant cues. Outcomes include demonstrating proper positions and verbalizing infant feeding cues.
Remember this must match what is This is measureable. How often will Ask yourself why are you doing this This is measurable in longer term. written in your assessment. you do this intervention? intervention? Usually Q 2!" hours or by discharge. Neonatal Jaundice Jaundice Evaluate the the neonate client’s client’s total Visual skin color assessment is not a +hort term goal, Neonate client lab and direct serum bilirubin values sufficient indicator in determining values for bilirubin 'ill be less than every 12-24 hours. the levels of serum bilirubin. 2 mgd& by discharge. easurements of bilirubin is im!ortant in evaluating the risk of !athology "he !ur!ose !ur!ose in monitoring and evaluating neonatal hy!erbilirubinemia is to !revent neonatal ence!halo!athy #$ckley % &ad'ig( 2)14*. Related to !r !re ma mature birth $ssess the // 'eeker neonate cl client &ate !reterm infants are at higher +hort term goal, "he client’s for ability to breastfeed successfully risk for breastfeeding and !rimary care giver #mother* #mother* 'ill and teach the client’s !rimary care inadeuate milk intake and they are demonstrate back by collecting giver #mother* to ho' to collect at a much higher risk for severe breast milk milk via hand e0!ression breast milk milk via hand e0!ression and and aundice than than term counter!arts( counter!arts( and 'ithin one hour of client contact feed the neonate client in order to therefore it is im!ortant to !romote and the neonate client 'ill feed at !romote adeuate adeuate hydration( hydration( and educated mothers about least once very t'o to three hours feeding( and stooling 'ithin the one alternate feeding methods that on the third day of life. hour of client contact. 'ould also !romote stooling and enhance bilirubin e0cretion( during !hotothera!y !hotothera!y #$ckley % &ad'ig( 2)14*. As Evidence By total serum Educate the neonate client’s !rimary "he client undergoes !hotothera!y +hort term goal, "he client’s bilirubin level level of 3. mgd& for care giver #mother* ho' to care for 'hile naked( but the genitals and the !rimary caregiver caregiver #mother* #mother* 'ill blood dra'n dra'n at 2 hours hours of life a client undergoing !hotothera!y for eyes should be covered to minimi5e !erform a return return demonstration demonstration by yello' mucous membranes and the treatment of hy!erbilirubinemia risk of damaging the retinal. covering the client genitals 'ith yello' skin. 'ithin three hours. +uch care Neonates undergoing undergoing !hotothera!y dia!er and eyes 'ith eye shields and includes covering client’s genitals are at risk of dehydration and they feeding the client 'ith the collected and eyes( and turning and feeding should be fed regularly to re!lace breast milk milk 'ithin three three hours. the client. any insensible 'ater loss #6icci( 2)12*. Nursing Diagnosis R/T AEB Nursing Interventions Rationales Outcomes 7neffective 8reastfeeding Educate the neonate client’s !rimary 9ositioning a neonate in a breast &ong term goal, "he client’s care giver #mother* about breast- feeding !osition !romotes latching !rimary caregiver caregiver #mother* #mother* 'ill feeding !osition that !romotes #6icci( 2)12*. !erform a return demonstration by neonate latching such as football( !ositioning the neonate client cradle( across-the-la!( and side lying football( cradle( across-the-la!( and hold 'ithin 2 hours. side lying hold 'ithin 2 hours.
Related to ne'born !rematurity Educate the neonate client’s !rimary "he mother and the baby should be &ong term goal, "he client’s caregiver #mother* about client’s able to communicate through baby’s !rimary caregiver #mother* 'ill cue for readiness to feed such cues and mother’s res!onse to such verbali5e neonate cues for readiness o!ening mouth turning head from cues. "his !romotes feeding the to feed such as o!ening mouth side to side( rooting( starring( baby on demand #6icci( 2)12*. turning head from side to side( stretching( agitation and !utting rooting( starring( stretching( hands in mouth as cues for readiness agitation and !utting hands in mouth to feed 'ithin one hours. 'ithin one hour.
As Evidence By neonate inability Educate the neonate client’s !rimary 8reastfeeding mothers should be " +hort term goal, the client’s to latch on to maternal breast caregiver #mother* to have the educated and assisted 'ith !rimary caregiver #mother* 'ill correctly and client’s !rimary care areola into client’s mouth instead of breastfeeding. #6icci( 2)12*. !erform a return demonstration by giver #mother* stating( :by baby is ust having the ni!!le in the mouth( having the ne'born client’s mouth not able to em!tying the breasts; as a techniue for initiating and covering the areola 'ithin 2 hours. and non-sustained suckling at the !romoting latch-on 'ithin 2 hour. breast.
