The document contains 5 sections that each include an assessment, diagnosis, planning, intervention, and evaluation for a newborn patient. The sections address thermoregulation, behavior, feeding readiness, and breathing patterns. The plans involve monitoring the newborn and providing interventions like maintaining temperature and environment to support the newborn in achieving and sustaining normal functions. The evaluations find that the newborn responds well to the nursing interventions and meets the goals of regulation and adjustment.
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The document contains 5 sections that each include an assessment, diagnosis, planning, intervention, and evaluation for a newborn patient. The sections address thermoregulation, behavior, feeding readiness, and breathing patterns. The plans involve monitoring the newborn and providing interventions like maintaining temperature and environment to support the newborn in achieving and sustaining normal functions. The evaluations find that the newborn responds well to the nursing interventions and meets the goals of regulation and adjustment.
The document contains 5 sections that each include an assessment, diagnosis, planning, intervention, and evaluation for a newborn patient. The sections address thermoregulation, behavior, feeding readiness, and breathing patterns. The plans involve monitoring the newborn and providing interventions like maintaining temperature and environment to support the newborn in achieving and sustaining normal functions. The evaluations find that the newborn responds well to the nursing interventions and meets the goals of regulation and adjustment.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
The document contains 5 sections that each include an assessment, diagnosis, planning, intervention, and evaluation for a newborn patient. The sections address thermoregulation, behavior, feeding readiness, and breathing patterns. The plans involve monitoring the newborn and providing interventions like maintaining temperature and environment to support the newborn in achieving and sustaining normal functions. The evaluations find that the newborn responds well to the nursing interventions and meets the goals of regulation and adjustment.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
Objective: Ineffective After 2 hours of nursing intervention: • Monitor axillary temperature After 2 hours of nursing Temperature of thermoregulation The newborn will maintain temperature at least every 1 hour intervention: 35.8 related to immature and prevent hyperthermia and cold • Provide heat/warm of The newborn maintained temperature control stress. newborn using swaddling, temperature and prevent and decreased Goals: droplight and skin-to-skin hyperthermia and cold subcutaneous body Long-term: contact. stress. fat Newborn will be able to sustain • Maintain thermal neutral Goals: adequate/normal self thermoregulation. environment and avoid Long-term: Short-term: situation that might Newborn was able to Provide assistance and support to predispose the infant to heat sustain adequate/normal maintain adequate normal temperature loss, such as cool air, drafts, self thermoregulation. bathing and cold beddings. Short-term: Provides assistance and support to maintain adequate normal temperature
Objective: Disorganized infant After 2 hours of nursing • monitor body temperature every 1 After 2 hours of nursing • Crying behavior related to cold intervention: to 3 hours intervention: • unable to feed room temperature The newborn will have a • monitor and record neurologic The newborn had a good • cold room good behavior status every 1 to 4 hours behavior temperature • Maintain thermal neutral environment and avoid situation that might predispose the infant to heat loss, such as cool air, drafts, bathing and cold beddings. • Provide heat/warm of newborn using swaddling, droplight and skin-to-skin contact. ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION Objective: Readiness for After 8 hours of nursing intervention: • Determine After 8 hours of nursing Presence of enhance nutrition The newborn will be able to be ready for patterns of intervention: sucking reflex related to the the enhancement of his nutrition hunger and The newborn was able to be ready Presence of attitude towards Goals: satiety for the enhancement of his rooting reflex the feeding bottle Long-term: • Obtain safe nutrition Newborn will be able to enhance his preparation and Goals: nutrition. storage of food Long-term: Short-term: Newborn was able to enhance his Provide assistance and support to nutrition. maintain to enhance his nutrition Short-term: Provides assistance and support to maintain to enhance his nutrition
Objective: Ineffective breathing After 1 hour of nursing • obtain vital signs every 1 hour After 1 hour of nursing • RR: 67 pattern related to intervention: • suction ororpharynx and intervention: • Small for adjustment to The newborn will be to nasopharynx as needed The newborn was be to gestational age extrauterine existence adjust to his extrauterine • provide oxygen as needed adjust to his extrauterine • Altered chest life • .maintain neutral environment life excursion Goals: Goals: • Accessory Long-term: Long-term: muscle use Newborn will be maintain Newborn was be maintain • Dyspnea his adjustment to his adjustment to extrauterine life extrauterine life • Nasal flaring Short-term: Short-term: • retractions Provide assistance and Provides assistance and support to maintain support to maintain normal respiratory status normal respiratory status
