Nursing care plan.
Newborn Transitioning
Baby girl Destiny was born by cesarean delivery 2 days ago. Destiny weighed 7 pounds 3 ounces, length 19 inches, head circumference 34 cm, chest circumference 34 cm. Her newborn course has been unremarkable. You observe that when held, Destiny appears alert and stares into her caregiver's face. Destiny appears to be a content baby and cries only when she is hungry or when she needs a diaper change. When hungry, you observe that she brings her hand to her mouth and starts sucking on her fist and then begins to cry. Destiny falls asleep immediately after the feeding. The telephone, which is next to Destiny on her mother’s bed, rings loudly and Destiny does not appear to respond to the loud sound by moving her extremities or awakening briefly.
.a. Develop 3 NANDA Priority Nursing Diagnosis:
b. State Patient Goals/Plan Nursing Diagnosis:
c. Write Interventions for Your Plan:
d. Scientific Rationale for Interventions:
e. Write How You Would Evaluate Your Plan:
a. NANDA Nursing Diagnosis:
b. Patient's goal:
C. Interventions:
d. Rationale:
e. Evaluation:
Nursing care plan. Newborn Transitioning Baby girl Destiny was born by cesarean delivery 2 days ago....
Nursing care plan. Baby girl Destiny was born by cesarean delivery 2 days ago. Destiny weighed 7 pounds 3 ounces, length 19 inches, head circumference 34 cm, chest circumference 34 cm. Her newborn course has been unremarkable. You observe that when held, Destiny appears alert and stares into her caregiver's face. Destiny appears to be a content baby and cries only when she is hungry or when she needs a diaper change. When hungry, you observe that she brings her...
Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 17: Newborn Transitioning 1. Sarah works in the labor and delivery unit as a transition nurse. Her department has instituted a new bedside transition period where newborns make the transition to extrauterine life in their mother’s recovery room about an hour after birth. Sarah’s next assignment is a new baby boy with Apgar scores of 8 and 9, born by cesarean about 1 hour ago to Lindsay, a 28-year-old G1. Sarah’s...
Baby girl Skylar is a neonate who was born at 37 weeks of gestation via cesarean section 1 hour ago. Her mother is a 34-year-old gravida 3, para three whose pregnancy was complicated by gestational diabetes mellitus. Baby Skylar weighs 4,196 g (9 lb 4 oz). The nurse notes that Baby Skylar is jittery, feeding poorly and exhibiting tremors. Critical Thinking Questions 1. What is the priority nursing diagnosis at this time? 2. What is the expected outcome associated with...
Stephanie is 2 days old, born via cesarean section. She last fed 6 hours ago. Her mother tells the nurse that Stephanie is so sleepy that she doesn’t have the heart to wake her. Discuss the approach the nurse should take when responding to the statements made by Stephanie’s mother. Interpret the following lab results (normal, abnormal, intervention required): Glucose 76 mg/dl Hemoglobin 17 g/L , Hematocrit 52% Total Bilirubin 14 mg/dL Identify one priority nursing diagnosis appropriate for this...
Case Studies Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 15: Postpartum Adaptations 1. You are caring for Linda, who has just delivered her first baby. You are responsible for assessing Linda’s condition during recovery and for doing patient teaching when the opportunity arises. (Learning Objectives 2 and 3) While she is recovering, you keep checking her fundal height. Linda asks you how her uterus will go back to the way it was before she had the baby. How...
Nursing care plan. Nursing Management of Labor and Birth at Risk. Carol, age 17, is pregnant with her first child. Her menstrual dates are accurate and her date of conception is limited to one possible day. Her physician gives her an EDC of March 28th. Carol has gone past her due date and refuses to have her labor induced. Carol states, “My grandmother says that the baby will come when it is good and ready.” It is now April 14th...
Nursing Care Plan 31-1: The Child with a Congenital Heart Disease The nurse enters Baby D.’s room and notices her mother sitting at her bedside crying. She states, “I don’t know how I will deal with her having heart surgery.” What would be an appropriate initial response to Ms. B.? Nursing Care Plan 34-1: The Patient with Depression Mr. W. is admitted to the psychiatric unit and placed on suicidal precautions. Mr. W. sits stoically staring out the window and...
Prepare a nursing care plan for a client with a condition described as preterm labor secondary to PROM Formulate nursing diagnoses and nursing care interventions related to the physiologic, psychologic and emotional aspects of the pregnant client with preterm labor and PROM both actual and potential problems Establish expected outcomes to meet the needs of the pregnant client with preterm labor and PROM Establish criteria to evaluate the effectiveness of nursing interventions enumerated. Mechanics From a hypothetical case scenario: A...
(1) Case Studies Chapter 41: Nursing Care of the Child With a Cardiovascular Disorder 1. Baby boy Ellis, 2 hours old, is being evaluated in the newborn nursery by the nursing staff. Findings include T 37°C; apical heart rate 140 bpm; respirations 58 breaths per minute; BP (arms) 70/47, (calves) 62/39; head circumference 34 cm; chest circumference 31 cm; length 48 cm; weight 2,700 g. The infant is crying. (Learning Objectives 1, 2, 3, 4, and 8) a. Based on...
NOTE: Please Answer Question 1-10 Nursing Care Plan 7-1: The Patient with an Infection Mr. R. has a peripheral IV infusing and reports discomfort at the site of insertion. What should the nurse do? Nursing Care Plan 8-1: The Patient with Activity Intolerance The nurse is in the process of transferring Mr. D. from his bed to a chair using a mechanical lift. The nurse has prepared the chair and placed it near the bed. The nurse turns Mr. D....