nursing care plan for infant of diabetic mother

Necrotic tissues around a diabetic persons wound signify poor blood flow. Diabetic management is a full-time task that serves as a constant reminder of disease and the dangers it poses to a patients health. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. Buy on Amazon. 6. If signs and symptoms continue after feeding, observe for other complications. The patient will be able to verbalize feelings about diminished function that can be expressed in a true and transparent manner. Buy on Amazon. Desired Outcome: The mother must still be able to identify and demonstrate ways for maintaining lactation as well as techniques for providing breast milk to the newborn. 11:50 PM Maternal and Child Nursing , Nursing Care Plan No comments This nursing care plan for gestational diabetes mellitus is designed for . Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Unable to load your collection due to an error, Unable to load your delegates due to an error. The high glucose levels in the blood may damage the blood vessel walls, including the arteries of the heart. Encourage the patient to increase physical activity, particularly aerobic exercise. Provide information on how to contact a healthcare provider after hospitalization. Administer and monitor medication regimen. Review the clients current diet and nutritional needs. One kilogram equals 2.2 lb; 44 lb divided by 2.2 = 20 kg; 15 mg x 20 = 300 mg. After a client's membranes rupture spontaneously, the nurse sees the umbilical cord protruding from the vagina. Buy on Amazon, Silvestri, L. A. This site needs JavaScript to work properly. Helps in quickly reducing the body temperature. This is caused by an increased concentration of red blood cells and a lower proportion of subcutaneous fat in newborns. Please follow your facilities guidelines, policies, and procedures. Ketoacidotic state in diabetic patients may increase their risk for infection. With proper use of the nursing process, a patient can benefit from various nursing interventions to assess, monitor, and manage diabetes and promote client safety and wellbeing. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Risk for Ineffective Therapeutic Regimen Management. Diabetic patients need complex nursing care. The patient will be able to recognize feelings of powerlessness. Severe hemolytic disease of the newborn (incompatibility of blood types of mother and baby) Birth defects and congenital metabolic diseases. Provide wrinkle-free linens. Newborns weight varies depending on race, genetics, and nutritional variables. One of the tasks that a healthcare provider does with a newborn is taking their vital signs. Inquire with parents about their perceptions of situational and personal concerns with the newborn. 2. Patients who are previously diagnosed with diabetes who have elevated blood glucose levels should have their diabetes treatment evaluated. 4-6 points: The newborns status is delicate, and he or she may require more extensive airway clearance and supplemental oxygen. Through thorough observation of the newborn, a healthcare provider can identify the necessity for intervention, and the efficacy of treatment. Unstable blood glucose levels contribute to delayed wound healing (. Dim lights, avoid noise, maintain a clean, comfortable bed with loose sheets and clothing, and disturb for care only when needed to promote comfort. To find out what the mother already knows and the need for supplemental teaching. A low blood glucose level can be life-threatening if not treated quickly. Clean and change wound dressings as indicated. The emergence of psychological issues that influence ones self-concept might add to the stress. Congenital anomalies are more likely in IDMs who are SGA than in other SGA newborns. While caring for this large-for-gestational age (LGA) neonate, the nurse palpates the clavicles for which reason? The care of this neonate builds on the pathophysiologic concepts presented in "The Infant of the Diabetic Mother" also appearing in this issue and other recent reviews of the subject. This increases the risk for, Diabetic coma. Educate patient about the importance of adhering to prescribed diabetic treatment. Pregnancy is the time during which one or more offspring develops inside a woman's uterus (womb). The following are the two major types of diabetes: a. Risk for respiratory distress syndrome increases (high insulin levels interfere with production of pulmonary surfactant). Nursing Diagnosis: Risk for Unstable Blood Glucose, Desired Outcome: The patient will maintain a blood glucose level of less than 180 mg/dL and an A1C level below 5.7, Nursing Diagnosis: Imbalanced Nutrition: Less than Body Requirements related to insulin deficiency, as evidenced by unexplained weight loss, increased urinary output, dilute urine, high blood glucose levels, fatigue, and weakness. Assess and document skin condition around the wound. Knowing the patients personality might aid in determining therapeutic goals. May be related to. It is important to regularly check for the insulins expiration date, cloudiness/clearness and storage to ensure drug efficacy. She found a passion in the ER and has stayed in this department for 30 years. Explain to the patient about the treatment and make sure that the patient briefly understood the treatment plan. To determine what factors lead to a fluid volume deficit of a newborn that can be treated immediately. Serum electrolyte studies may reveal hypocalcemia (total serum calcium mg/dL). Assess vital signs and observe for any signs of infection. St. Louis, MO: Elsevier. Then, within the first six months of life, the newborn must gain 2 pounds per month. For patients with limited financial resources, the cost of medication and supplies for blood glucose monitoring may be a barrier. Nursing diagnoses handbook: An evidence-based guide to planning care. Allow the patient to verbalize feelings and advise the patient that it is normal to feel and react that way. Low fat, and high fiber foods are ideal for diabetic patients. Saunders comprehensive review for the NCLEX-RN examination. o Jaundicephysiologic jaundice caused by immaturity of liver is common beginning on day 2, peaking at 1 week, and disappearing by the 2nd week. Perform a foot wash on the patient with mild soap and warm water on a daily basis. Nurses are one of the first healthcare practitioners to interact with them when they are delivered. Capillaries can be damaged by excess glucose in the blood. Clarifies the expectations of the learner and the teacher. This can encourage the continuation of efforts. The Apgar score serves as the starting point for all subsequent observations of a newborn. St. Louis, MO: Elsevier. These factors may need to be addressed in creating a clients healthcare plan. A score of 4 to 6 suggests mild distress, whereas a score of 7 to 10 indicates severe respiratory distress. St. Louis, MO: Elsevier. Nursing diagnoses handbook: An evidence-based guide to planning care. In addition, limited joint mobility or a prior handicap may make it difficult for the patient to evaluate the bottom of the feet. A pink complexion upon birth is the healthiest color. Obtain hematocrit value; report the findings to the physician. Place infant in a respiratory depression and had T= temperature. Desired Outcome: The patient will be able to achieve a weight within his/her normal BMI range, demonstrating healthy eating patterns and choices. will express verbally the comprehension of the diabetes disease process and its possible complications, and the patient will be able to perform all necessary procedures accurately and give discuss reasons for the actions. Greater size results from fat deposits and hypertrophic liver, adrenals, and heart. Everyone in the family is expected to be eager to hold and cuddle this newly arrived cute little one. Positive feedback encourages parents to continue with their appropriate parental behaviors. An example of data being processed may be a unique identifier stored in a cookie. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Terranova, A. Desired Outcome: The patient will recognize any changes in sensory perception and effectively cope with them. In this post, we will formulate a scenario-based sample nursing care plan for hypoglycemia for an elderly patient with type-2 Diabetes Mellitus.. Hypoglycemia is a condition where the blood glucose level is lower than its normal level. This condition can cause serious complications if left uncontrolled. Many different conditions may be associated with hypoglycemia in the newborn, including the following: Inadequate maternal nutrition in pregnancy. Powerlessness. Its an autoimmune disorder where the bodys immune system attacks its own pancreas, inhibiting its capacity to produce insulin. Before putting the patients feet in the water, always make sure to check the temperature. Provide education and emotional support. Assess vital signs and perform an initial head-to-toe assessment, particularly checking visual acuity, presence of tingling or numbness in the extremities, and response to pain stimuli. Patients can better problem-solve and seek help if they recognize that their reactions are normal. d. term, small for gestational age, and low-birth-weight infant. Desired Outcome: The patient will maintain a blood glucose level of less than 180 mg/dL and an A1C level below 5.7. Here are 17 nursing care plans (NCP) and nursing diagnoses for diabetes mellitus (DM): Risk for Unstable Blood Glucose Level. official website and that any information you provide is encrypted Review the mothers health history and history of the pregnancy. The problems facing the infant of a diabetic mother antenatally, intrapartally, and neonatally relate directly to the sequence of maternal hyperglycemia, fetal hyperglycemia, and subsequent fetal hyperinsulinemia. The text utilizes a highly-readable writing style and . Nursing Diagnosis: Risk for Impaired Parent/Infant Attachment related to newborns current health status and hospitalization. Risk for Impaired Parent/Newborn Attachment. Symptoms of Hyperglycemia: Monitor blood glucose levels. Age, developmental stage, maturity level, and current health status affect the clients ability to adhere to treatment plans. Determine if the patient and the significant other have changed in their relationship. Support in the feeding of the newborn with breast milk when the mother is unable to do so. The lowest overall score is 0, indicating that no respiratory distress is present. Patients who are involved in decision-making are more likely to progress toward independence. As directed by the attending physician, administer antipyretics. Walking barefoot can cause trauma, which could lead to ulceration and infection. The mother's body continues to go through changes as it returns to a prepregnancy baseline. To give the patient enough information on the risks of blood sugar control (e.g. IDM is caused by chronic hyperglycemia in the mother (e.g., gestational diabetes mellitus or long-term diabetes mellitus with or without vascular changes). Administer oral care by moistening lips, as well as skin care by bathing on a regular basis. The height and weight of a newborn are part of the physical examination. Monitor patients serum electrolytes and recommend electrolyte replacement therapy (oral or IV) to the physician as needed. Fat and glycogen are deposited in fetal tissue, and the fetus grows large (macrosomia), especially if maternal blood glucose levels are not well controlled in the third trimester. Dietary changes. Journal of diabetes science and technology, 4(3), 750-753. Desired Outcome: The patient will be able to retain fluid volume at a functional level as evidenced by individually acceptable urine output with normal specific gravity, normal levels of electrolytes, stable vital signs, moist mucous membranes, good skin turgor, quick capillary refill, and firm and flat fontanelles. Desired Outcome: The patient will be able to avoid the development of an infection. Thus, it is up to the nurses to offer the best nursing care possible before handing them over to their parents. For healthcare management resources post-discharge. Examine available documents and resources to identify life experiences such as medical records, statements from significant others and notes from consultants. The acceptable vital signs measurements of a newborn are listed below. 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