nursing care plan for infant of diabetic mother

Manage Settings Prediabetes. Encourage the mother to get enough sleep, drink plenty of water and eat well, and breastfeed every three hours while awake. Inquire with parents about their perceptions of situational and personal concerns with the newborn. Explain the need to reduce sedentary activities such as watching television and using social media in long periods. To give the patient enough information on the risks of blood sugar control (e.g. Examine the patient about the presence of distinguishing qualities. Diabetic patients suffer from slow wound healing. Assess the patient and significant others about emotions that indicate a lack of adjustment such as overwhelming anxiety, dread, rage, worry and denial. . the nurse establishes an ongoing care plan for the infant and the family until discharge. To assess a pulse that has grown weak or thready as a result of a below-normal level of oxygen in the newborns blood. To ensure that the patient does not experience hyperglycemia (high blood glucose level) or hypoglycemia (low blood glucose level), patients are educated to check their blood sugar about 3 to 4 times a day, or more depending on their treatment plan. Explain to the patient the importance of washing the feet with lukewarm water and mild soap on a daily basis. Respiratory evaluation is required with every newborn interaction since it is the most important aspect of newborn care. Diabetes in pregnancy is associated with an increased risk of fetal, neonatal, and long-term complications in the offspring. Desired Outcome: The patient will maintain a blood glucose level of less than 180 mg/dL and an A1C level below 5.7. The white cloth makes it easy to see if there is any presence of blood or exudates. This increases the risk for, Diabetic coma. 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. Age, developmental stage, maturity level, and current health status affect the clients ability to adhere to treatment plans. Thus, it will make problem-solving easier. It affects roughly 2% to 10% of pregnancies. Observation reveals the characteristics appearance of a round, red face and an obese body. And by 2049, the number can increase up to 700 million. Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2019). She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Hyperbilirubinemia may result from breakdown of excess RBCs after birth. . Stress can cause a wide range of behavioral and physiological responses, which can indicate how difficult it is to cope. Terranova, A. To assist with further learning and promote clients learning at own pace. Allows the patient to have a feeling of control over the situation. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Type 2 - This type of diabetes develops over time. To meet the clients needs and not the instructors needs. Participation provides the patient a sense of control and boosts their self-esteem. Examine the newborns skin for color, temperature, and moisture changes. Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). An Audit in a Tertiary Care Hospital. Types of Diabetes Mellitus. Poor skin characterized color and . document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. During the neonatal period, a thorough assessment should be made to identify respiratory distress, birth trauma, problems with metabolic transition, and congenital anomalies. Nursing care of the neonate - SlideShare infant of diabetic mother (Concept Id: C0270221) - National Center for The average parameters that nurses use to examine the newborns vital statistics are listed below. Abstract: In the United States, approximately 100,000 infants are born to diabetic mothers each year. Congenital anomalies (e.g., heart, kidney, vertebral, and CNS) are three to five times more common, with incidence decreasing if maternal blood glucose levels remain controlled and normal during the first trimester. Educate the patient (or guardian) on how to fill out a fluid balance chart at bedside. Infant of a diabetic mother (IDM): Nursing | Osmosis It is rinsed away in the first bath, but it should never be rubbed vigorously off as it will only come off gently. Monitor patients serum electrolytes and recommend electrolyte replacement therapy (oral or IV) to the physician as needed. Introduction. The nurse conducts APGAR scoring to the newborn immediately after a few minutes of being born. If the patient develops a fever, give him a tepid sponge bath. To recognize if there are any compensating mechanisms for vasodilation. Buy on Amazon. Possibly evidenced by. Encourage the patient and the significant other to share their feelings regarding the hospitalization and disease. This will show the patient that some decisions from them can be considered and applied for their care. To facilitate early detection and management of infection and to provide proper wound management as needed. 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. Risk for Ineffective Therapeutic Regimen Management. Newborns are among the fascinating individuals that a person will ever meet in their lifetime. 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. Evaluate the mothers perceptions and understanding of breastfeeding, as well as the amount of education she has received. Review clients risk factors and provide information on how to avoid complications. Maternal and Child Health Nursing (NCLEX Exams), Medical and Surgical Nursing (NCLEX Exams), Pharmacology and Drug Calculation (NCLEX Exams), Congenital Talipes Equinovarus (Clubfoot) Nursing Management, Prolonged Pregnancy (Postterm Pregnancy) Nursing Management. People with prediabetes may eventually have type 2 diabetes if the condition is left untreated. (1) (2) The physician responsible for the care and delivery of the parturient must inform the neonatologist, pediatrician, or their designee responsible for . Encourage the patient to make decisions and take part in the planning of their care and activities. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Recognize and reward caring and protective parenting practices with positive reinforcement. She found a passion in the ER and has stayed in this department for 30 years. Intravenous fluid is used to replenish fluid losses of the newborn. These include: Other complications may include skin problems, hearing impairment, depression, and Alzheimers disease. The problems facing the infant of a diabetic mother antenatally, intrapartally, and neonatally relate directly to the sequence of maternal hyperglycemia, fetal hyperglycemia, and . Postpartum Nursing Diagnosis & Care Plan | NurseTogether Nursing Diagnosis: Risk for Hyperthermia related to developing thermoregulation. Patients who have an external way of control want to be looked after by others and may place blame for their situation on other forces. Blood glucose levels greatly depend on carbohydrate intake. The lowest overall score is 0, indicating that no respiratory distress is present. To determine the appropriate treatment in maintaining target blood glucose levels. Provide information on how to contact a healthcare provider after hospitalization. Nursing Diagnosis for Fall Risk and Fall Risk Nursing Diagnosis and Nursing Care Plans, Antisocial Personality Disorder Nursing Diagnosis and Nursing Care Plan, Hypoglycemia Nursing Diagnosis and Nursing Care Plans, 31 to 33 cm or 2cm less than head circumference. Rates of 22%'' and 30%' have been reported. Chest movement, intercostal retraction, xiphoid retraction, nares dilatation, and expiratory grunt are the five criteria used to assess the newborns respiratory health. Allow the patient to communicate their worries, anxieties, feelings, and expectations. To allow the patient to relax while at rest. These factors may need to be addressed in creating a clients healthcare plan. Retinopathy and peripheral neuropathy are some of the complications of diabetes. A multiple pregnancy involves more than one offspring, such as with twins.. Pregnancy usually occurs by sexual intercourse, but can also occur through assisted reproductive technology procedures. 3. Clipboard, Search History, and several other advanced features are temporarily unavailable. Recovery depends on the delivery process and any complications endured. Monitor the symptoms of hypovolemia. Observe the methods for storing and using expressed breast milk. diabetes mellitus, disorder of carbohydrate metabolism characterized by impaired ability of the body to produce or respond to insulin and thereby maintain proper levels of sugar (glucose) in the blood. - lack of recall. This method Increases the patients sense of involvement and allows the significant other to problem-solve ways to help the patient avoid recurrence. Nursing Care of the Pregnant Woman with Diabetes Mellitus Organ damage may result from decreased blood flow and renal vein thrombosis. Reduces pain perceptions and may foster a sense of control. Nursing Diagnosis: Risk for Fluid Volume Deficit due to osmotic diuresis, Desired Outcome: The patient will demonstrate adequate hydration and balanced fluid volume, Nursing Diagnosis: Risk for Disturbed Sensory Perception. Encourage progressive activity through self-care and exercise as tolerated. Discuss one topic at a time. Postpartum Nursing Diagnosis & Care Plan. May be SGA or LGA, with or without congenital anomalies and with or without birth injury. Neonatal Care of the Infant of the Diabetic Mother This will help in developing a plan of action with the client to address immediate needs and assist with the plans implementation. Nursing Diagnosis: Ineffective Coping related to poor ability in understanding the disease process, inadequate social support, inadequate perception of control and insufficient resources secondary to diabetes mellitus as evidenced by negative self-image, grief, a lack of problem-solving abilities, and fatigue. Infant of diabetic mother: MedlinePlus Medical Encyclopedia Walking barefoot can cause trauma, which could lead to ulceration and infection. False assurances should be avoided at all times. To maintain patient safety and reduce the risk for cross contamination. Distraction is utilized to divert focus away from a feared treatment and toward an enjoyable experience. Polydipsia Increased / excessive thirst, Polyuria Frequent urination and increased amount of urine, Unexplained weight loss especially in type 1 diabetes, Heart diseases and stroke. Type 1 diabetes was used to be called juvenile diabetes, as most cases begin during childhood. To find out what the mother already knows and the need for supplemental teaching. If the patient is on the bed, Allow the patient to use a foot cradle, space boots on ulcerated heels, elbow protectors, and mattresses that provide pressure relief. sharing sensitive information, make sure youre on a federal This type of diabetes often begins early in childhood. Hyponatremia or low serum sodium level may cause brain swelling. Nursing care plans: Diagnoses, interventions, & outcomes. The multimedia enhanced edition of Wong''s Nursing Care of Infants and Children, 9th Edition has new resources on the Evolve website for students including case studies, journals articles from Mosby''s Nursing Consult, updated skills content plus interactive checklists, and the new Mobile Quick Reference - a web app with even more resources that can be accessed on any device. St. Louis, MO: Elsevier. Encourage the patient to perform self-care and provide positive reinforcement for efforts. Nursing Diagnosis: Deficient Knowledge related to new diagnosis of Type 2 diabetes as evidenced by patients verbalization of I want to know more about my new diagnosis and care. Contributors: Infants of mothers with diabetes, or IDMs for short, have a higher risk of developing fetal and neonatal complications, including growth abnormalities, respiratory distress, and metabolic complications, in addition to preterm delivery. Hypertrophic cells produce large volumes of insulin, which acts as a growth hormone, and protein synthesis accelerates. Nursing Care Plans for Gestational Diabetes Mellitus - Best Nursing Evaluate the newborns rate, depth, and quality of breathing. The site is secure. Risk for hyperthermia. Type 1 diabetes patients require insulin injections to lower the blood sugar levels. Hyperglycemia may cause Kussmauls respirations and/or acetone breath. Desired Outcome: The patient will demonstrate ways to properly care for the feet and the patient will maintain an intact skin on the legs and feet while still admitted to the hospital. Advise the patient that it is not allowed to walk around barefoot. Risk for Impaired Parent/Newborn Attachment. Determine the clients awareness or ability to be responsible for own healthcare plans. To ensure appropriate nutrition and to encourage the continuation of the lactation process. Possible signs and symptoms of hypoglycemia include jitteriness, irritability, diaphoresis, and blood glucose level less than 45 mg/dL. The patient may describe feelings of helplessness as a result of attempting to manage medications, food, exercise, blood glucose monitoring, and other preventative measures. 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. - misinterpretation. Involve parents in activities that they can effectively complete with the newborn. Type 1 - This type of diabetes is believed to be due to an autoimmune reaction in the body that prevents the body from producing insulin. A pregnancy may end in a live birth, a miscarriage, an induced abortion, or a stillbirth. drug class, use, benefits, side effects, and risks) to control blood sugar levels, and explain how to properly self-administer each of them. Buy on Amazon, Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Create a daily routine for the patient, as consistent as possible. Avoid using medical jargons and explain in laymans terms. 2. Allow the patients significant other to express their worries about the patients condition and explore methods in which they will find it easy to assist the patient. High blood glucose levels result inpoor blood circulation which further leads to delayed wound healing. In addition, limited joint mobility or a prior handicap may make it difficult for the patient to evaluate the bottom of the feet. Refer the patient to physiotherapy / occupational therapy team as required. Help the patient to select appropriate dietary choices to follow a high fiber, low fat diet. The patient will be free of self-destructive actions and the patient will be able to address needs, communicate them and negotiate with others.

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