nursing care plan for infant of diabetic mother

Nursing diagnoses handbook: An evidence-based guide to planning care. Examine available documents and resources to identify life experiences such as medical records, statements from significant others and notes from consultants. Knowing the patients personality might aid in determining therapeutic goals. Your diabetes care plan should include your blood sugar management goals and . Despite having a similar name, diabetes insipidus is not a type of diabetes mellitus. Please follow your facilities guidelines, policies, and procedures. IDM is caused by chronic hyperglycemia in the mother (e.g., gestational diabetes mellitus or long-term diabetes mellitus with or without vascular changes). Continue with Recommended Cookies, Newborn NCLEX Review and Nursing Care Plans. Ascertain that every equipment used to care for the newborn is sterile and immaculate. Nursing Diagnosis: Risk for Unstable Blood Glucose. It is important to regularly check for the insulins expiration date, cloudiness/clearness and storage to ensure drug efficacy. Administer and monitor medication regimen. To balance dietary intake with complicated body needs. Check if a regular visitation schedule or early notice may be provided to the mother. subcutaneo 36.5-37 C with radiant warmer or reduced O2 uptake. Severe hemolytic disease of the newborn (incompatibility of blood types of mother and baby) Birth defects and congenital metabolic diseases. Anna Curran. False assurances should be avoided at all times. Monitor and record the characteristics and strength of peripheral pulses. Elevating the edematous extremities saves energy and reduces the need for oxygen. Nursing Diagnosis: Risk for Impaired Skin Integrity related to neuropathy and decreased sensation and circulation caused by peripheral neuropathy and arterial obstruction secondary to diabetes mellitus. One of the tasks that a healthcare provider does with a newborn is taking their vital signs. Untreated or poorly controlled diabetes may lead to the development of serious complications that may disabling or fatal to the patient. Hypoglycaemia is the most common metabolic disorder of the neonate, and occurs in 5-15% of all neonates. The postpartum period begins after the delivery of the infant and generally ends 6-8 weeks later, though can extend in certain cases. Provide information about community resources, support groups and diabetic educators. Necrotic tissues around a diabetic persons wound signify poor blood flow. Determine and confirm the patients understanding of hyperglycemia, its symptoms, causes, therapy, and prevention. Here are some of the most important NCPs for diabetes: May be related to unfamiliarity with information misinterpretation lack of recall, Possibly evidenced by verbal statements of concerns or misconceptions expressions of request for information improper or inadequate follow-through of instructions development of preventable complications, Desired Outcome participates in the learning process exhibits signs of taking responsibility for own learning by asking questions verbalizes understanding of condition and treatment correlates signs and symptoms of the disease process and identify corresponding management perform demonstrated procedures correctly and explain reasons for actions, May be related to lack of adherence to diabetes management inadequate blood glucose monitoring practices fluctuating physical activity level stress, As evidenced by blood glucose levels below or above normal levels, Desired Outcome identifies factors that may lead to unstable blood glucose levels verbalizes understanding of balancing body and energy needs verbalizes plan in modifying identified risk factors to prevent shifts in glucose level maintains blood glucose levels within the normal range, May be related to decreased leukocyte function circulatory changes due to high blood glucose levels, Desired Outcome verbalizes understanding of identified risk factors identifies important interventions in reducing risks for infection ensures timely wound healing free from purulent discharges and necrosis, See Also:Nursing Care Plan for Risk for Infection. This is a good way to implement and teach foot hygiene. Administer diabetic medication (oral and/or insulin therapy) as prescribed. They are instead related to the diseases that develop as a . An understanding of the metabolic alterations seen in normal and diabetic pregnancies can lead to an optimal plan of care for the diabetic patient and her infant. 3. 3. Discuss one topic at a time. Nursing Diagnosis: Powerlessness related to a long-term and progressive illness and probable dependence on significant others secondary to diabetes mellitus as evidenced by expressions of having little control over circumstances, reluctance to convey actual feelings, apathy, disengagement, not participating in treatment and decision-making, and depression about bodily deterioration or complications. Hematocrit level may be elevated, indicating polycythemia. Diabetes mellitus, simply known as diabetes, is a group of metabolic disorders that involve the abnormal production of insulin or response to it, affecting the absorption of glucose in the body. 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. A peaceful and private environment encourages successful newborn feeding. sharing sensitive information, make sure youre on a federal The nurse conducts APGAR scoring to the newborn immediately after a few minutes of being born. Nursing Care Plan for Diabetes 1. Saunders comprehensive review for the NCLEX-RN examination. the nurse establishes an ongoing care plan for the infant and the family until discharge. Type 1 diabetes patients may be eligible for a pancreas transplantation. Encourage oral fluid intake of at least 2500 mL per day if not contraindicated. The average parameters that nurses use to examine the newborns vital statistics are listed below. Risk for Impaired Parent/Newborn Attachment. Recovery depends on the delivery process and any complications endured. Body temperature is lowered, and comfort is provided to the newborn with a tepid sponge bath. Patients can better problem-solve and seek help if they recognize that their reactions are normal. 2. The text utilizes a highly-readable writing style and . Place infant in a respiratory depression and had T= temperature. Assess vital signs and observe for any signs of infection. To personalize the teaching plan and facilitate learning or recall of information provided. Its worth noting that increased respiration happens in reaction to endotoxins direct effects on the brains respiratory center, as well as the development of hypoxia and stress. The patient will be able to find healthy strategies to deal with emotions. Patients who are previously diagnosed with diabetes who have elevated blood glucose levels should have their diabetes treatment evaluated. Allow the patient to verbalize feelings and advise the patient that it is normal to feel and react that way. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Pale and cyanotic (bluish discoloration) indicates that the newborn may be suffering from a lack of control over his central nervous system or a manifestation of congenital heart defects. . We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. If diabetes in pregnancy is uncontrolled, the diversity of resulting health problems can have a profound effect on the embryo, the fetus, and the neonate. Deficient Knowledge. Buy on Amazon, Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Imbalanced Nutrition: Less than Body Requirements, Disturbed Sleep Pattern Nursing Diagnosis, Blood Transfusion Nursing Diagnosis and Nursing Care Plan, Hip Fracture Nursing Diagnosis and Nursing Care Plan, Pleurisy Nursing Diagnosis Care Plan - NurseStudy.Net, Gestational Diabetes Nursing Diagnosis Interventions and Care Plans - NurseStudy.Net, Colon Cancer - Pathophysiology, Podcast, and Nursing Care Plan. Your focus should come from the NANDA Nursing Diagnosis text. The infants of diabetic mothers are large for their gestational age and may develop hypoglycemic episodes soon after birth. Perform a foot wash on the patient with mild soap and warm water on a daily basis. J Perinat Neonatal Nurs. Nurses pocket guide: Diagnoses, prioritized interventions, and rationales. Poor skin characterized color and . The height and weight of a newborn are part of the physical examination. Proper administration of prescribed diabetic medications is important in stabilizing blood glucose levels. Desired Outcome: The patient will maintain normal body temperature as evidenced by an acceptable range of vital signs and normal white blood cells (WBC) count. Fractures and nerve damage may occur from birth trauma if the infant is LGA. Desired Outcome: At the end of the health teaching session, the patient will be able to demonstrate sufficient knowledge of Type 2 diabetes and its management. Nursing Care Plan for Newborn Baby 1. Nurses often use the "A, B, C's" (airway, breathing, and circulation) during this focus. An example of data being processed may be a unique identifier stored in a cookie. Insulin therapy. Massage the limbs and keep the skin dry. To assist with further learning and promote clients learning at own pace. Assess for signs of hyperglycemia or hypoglycemia. Deshpande, A. D., Harris-Hayes, M., & Schootman, M. (2008). This may make vaginal birth harder and may increase the risk for nerve injuries and other trauma during birth. Organ damage may result from decreased blood flow and renal vein thrombosis. A pink complexion upon birth is the healthiest color. government site. Types of Diabetes Mellitus. Provide the patient a thorough explanation of the desired information and avoid giving more than what the patient can manage. Asphyxia of the newborn in east, central and southern Africa. Size differences and variations are more common in IDMs who are LGA than in other LGA newborns. Gray color an indication of an infection process, Jaundice (yellowish discoloration) If it emerges on the second or third day of life as a result of the disintegration of fetal red blood cells, it is deemed normal. And by 2049, the number can increase up to 700 million. Excess glucose may damage the blood vessels located in the eye. Discuss with the patient about the previous management done to keep up with the diabetic treatment plan. The pancreas is a gland located below the stomach and is responsible for producing and secreting the hormone insulin into the bloodstream. She found a passion in the ER and has stayed in this department for 30 years. Educate about balancing food intake with physical activities. Diabetes is one of the common endocrine disorders affecting pregnancy. Advise the patient to perform proper foot care. Provide emotional support to the mother and accept her decision about whether or not to breastfeed. Symptoms of high blood glucose levels include: In general, there are three types of diabetes and each one varies in terms of treatment and management. Infants of mothers with gestational diabetes are vulnerable to several chemical imbalances, such as low serum calcium and low serum magnesium levels, but, in general, there are two major problems .

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