Question

Nursing care plan.

As a postpartum nurse your next client is an LGA baby boy who was born at 37 weeks' gestation. He had Apgar scores of 8 and 9. He was circumcised. The mother is breast-feeding. Your unit requires a full assessment, screenings, discharge instructions, and documentation.

1. Definition of Medical Diagnosis, Etiology/Pathophysiology

2. Common Sign/Symptoms

3. Potential Complications

4. Expected Assessment Findings head to toe

5. Diagnostic Studies/Labs

6. All NANDA Nursing Diagnoses

Answer 1

1. The medical diagnosis is LGA ( large for gestational age) are the babies born with 90th percentile for their gestational age,which means they weight about 90% more than the other babies of same gestational age.

The etiology are as follows:

* maternal diabetes

* previous LGA baby

* large stature

* preexisting uncontrollable diabetes

* genetic or congenital disorder

* obesity

The pathophysiology is:

Diabetes during the maternal period when increased the blood circulates into the fetus, in response the fetus makes the insulin.

2. The signs and symptoms include :

* hypoglycemia

* birth defects

* increased weight more than 90% than other babies

* respiratory distress

3. The complications include:

* shoulder dystocia

* metatarsus adductus

* hypoglycemia

* hip subluxation

* talipes calcaneovalgus

4. The assessment finding heat to toe depends on observation, smell and hearing:

* large in size

* braydpnea tachycardia

* birth defects

* clavicle injury

* completions associated with maternal diabetes

* extremeties defects

5. The diagnostic studies are:

* the LGA babies cannot be diagnosed before birth

* ultrasound shows the baby weight but still it is imprecise

* preexisting maternal diabetes may be at risk

6. The NANDA diagnosis include:

* large for gestational age related to maternal weight gain during pregnancy

* risk for complications related to birth defects

* hypoglycemia related to increased insulin production