nursing care plan for infant of diabetic mother

This will help in developing a plan of action with the client to address immediate needs and assist with the plans implementation. . As an Amazon Associate I earn from qualifying purchases. Assess the patients readiness to learn, misconceptions, and blocks to learning (e.g. Thus, it is up to the nurses to offer the best nursing care possible before handing them over to their parents. Kidneys can also be damaged due to poorly controlled diabetes. Accessibility 5. The mother's body continues to go through changes as it returns to a prepregnancy baseline. Provides a starting point for dealing with the current circumstance in order to go on with the plan and assess progress. Discuss with the patient about the previous management done to keep up with the diabetic treatment plan. Teach the patient to apply a light moisturizer to the feet and after softening toenails with a bath, cut them straight across. As directed by the attending physician, administer intravenous fluid replacement. Caring for the infant of a diabetic mother. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. On the other hand, the cells of people with prediabetes and type 2 diabetes develop insulin resistance. Possibly evidenced by. Certain risk factors like a family history of diabetes, history of poor glucose control, poor exercise habits, eating disorders, and failure to recognize changes in glucose needs can result in blood glucose stability problems. In most cases, skin color variations in newborns do not usually signify an underlying condition. The healthcare provider can learn about the parents feelings about the situation by interviewing them. The infants of diabetic mothers are large for their gestational age and may develop hypoglycemic episodes soon after birth. The lanugo, or fine, downy hair that covers the newborns shoulders, arms, and back, would be rubbed away typically by the friction of the bedding and garments. Pregnancy is the time during which one or more offspring develops inside a woman's uterus (womb). The nurse should then create a main focus for the patient's treatment. Infants of diabetic mothers (IDM) are often larger than other babies, especially if diabetes is not well-controlled. A low blood glucose level can be life-threatening if not treated quickly. Educate about additional learning resources like diabetes care websites, videos, etc. 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. The APGAR score is determined by evaluating the following parameters: Activity, Pulse, Grimace, Appearance, and Respiration of newborns. The emergence of psychological issues that influence ones self-concept might add to the stress. The development of coping behaviors is limited, therefore primary caregivers provide support and serve as role models. Monitor polydipsia. Moisturizers prevent skin cracking by softening and lubricating dry skin while cutting the nails straight will help to avoid ingrown toenails, which can lead to infection. membrane. Nurses are one of the first healthcare practitioners to interact with them when they are delivered. However, diabetes insipidus involves the inability to retain hormone due to the dysfunction of the antidiuretic hormone vasopressin. The https:// ensures that you are connecting to the Diabetic patients need complex nursing care. To help the patient understand why unexplained weight loss is one of the signs of diabetes. Buy on Amazon, Silvestri, L. A. Following is the nursing care plan for diabetes insipidus: Monitor the daily weights and determine the weight loss/gain. When a patients way of control is internal, they usually desire to take charge of their own treatment plan. 4. Sometimes, the foetus may suddenly die during the last trimester of pregnancy or macrosomia and its attending risks during delivery such as birth trauma , asphyxia , and increased possibility of L.S.C.S. Ask for any form of exercise that he/she used to do or wants to try. 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. To balance dietary intake with complicated body needs. Assess the patients previous problem-solving abilities. The amount and type of education management required for the patient is determined by self-management skills. 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. Please follow your facilities guidelines, policies, and procedures. To determine the clients extent of learning. Buy on Amazon, Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Always provide positive feedback for the patients changed self-care behaviors. Epidemiology of diabetes and diabetes-related complications. Create objectives clearly in the clients terms. Medical-surgical nursing: Concepts for interprofessional collaborative care. Polydipsia Increased / excessive thirst, Polyuria Frequent urination and increased amount of urine, Unexplained weight loss especially in type 1 diabetes, Heart diseases and stroke. It helps in cooling down the body temperature. In maternal long-term diabetes with vascular changes, the newborn may be SGA because of compromised placental blood flow, maternal hypertension, or pregnancy-induced hypertension, which restricts uteroplacental blood flow. St. Louis, MO: Elsevier. Physical and psychosocial assessments are used to establish the extent of the patients current conditions limitation. The patient will develop the ability to take responsibility for his/her own needs. Diabetic patients need complex nursing care. 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. It is the result of the body's inability to use the insulin it produces in a manner that allows for normal blood glucose . As an Amazon Associate I earn from qualifying purchases. Day 3- (3-4 wet diapers/1-2 stools) and change from Meconium to yellowish color. To assist with further learning and promote clients learning at own pace. Observation reveals the characteristics appearance of a round, red face and an obese body. False assurances should be avoided at all times. This problem occurs if the mother's blood glucose levels have been consistently high, causing the fetus to have a high level of insulin in its circulation. Risk for Injury. Antenatally, intervention is aimed at identifying and preventing macrosomia and sudden fetal demise. 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. The patient is usually referred to a dietitian to ensure that a meal plan that suits the patients health goals and preferences is created. But having only a pink body and blue extremities, also called acrocyanosis, is considered normal and healthy. Respiratory distress syndrome is a most serious condition which also occurs in the infants of diabetic mothers. Khandare J, Ds M, Ananthan A, Nanavati R J Trop Pediatr 2020 Apr 1;66(2):194 . Educate the patient for the need to monitor and report any visual disturbances or other sensory changes. Knowing and following proper administration method is important in ensuring drugs efficiency. The consent submitted will only be used for data processing originating from this website. Buy on Amazon. Determine the influence of clients cultural and religious factors affecting dietary practices, taking responsibility for own care and expectations of healthcare outcome. Blood glucose levels greatly depend on carbohydrate intake. Oral care is administered to avoid dryness-related injuries. Upon delivery, the newborn is normally covered in vernix caseosa, a white cream cheese-like substance. This increases the risk for, Diabetic coma. In addition, limited joint mobility or a prior handicap may make it difficult for the patient to evaluate the bottom of the feet. Dim lights, avoid noise, maintain a clean, comfortable bed with loose sheets and clothing, and disturb for care only when needed to promote comfort. An Audit in a Tertiary Care Hospital. naman.", as by poor homeostasis 2. The average parameters that nurses use to examine the newborns vital statistics are listed below. Provide written information or guidelines and self-learning modules, especially about the proper diet essential for diabetic patients. 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. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. Intravenous fluid is used to replenish fluid losses of the newborn. Emphasize the importance of inspecting clients own insulin medication. To maintain patient safety and reduce the risk for cross contamination. . It is recommended to have at least 30 minutes of aerobic exercise. Allow the patient to verbalize feelings and advise the patient that it is normal to feel and react that way. 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. Description . Recovery depends on the delivery process and any complications endured. This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. Abstract: In the United States, approximately 100,000 infants are born to diabetic mothers each year. Stress can cause a wide range of behavioral and physiological responses, which can indicate how difficult it is to cope. 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. We and our partners use cookies to Store and/or access information on a device. (Frequency of blood glucose checks depends on the treatment plan.). The white cloth makes it easy to see if there is any presence of blood or exudates. 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. Vital in preventing a sudden increase or decrease in blood glucose levels. Hypoglycemia may result after birth from lack of glucose from the mother, but continued production of insulin by the newborn. The patient will be able to demonstrate an increase in self-care interest and participation. St. Louis, MO: Elsevier. Address parental views by educating parents about t. Appropriate parental education aids in the clarification of reasonable expectations. - lack of recall. Encourage the mother to get enough sleep, drink plenty of water and eat well, and breastfeed every three hours while awake. Nursing Care Plan for Newborn Baby 1. Because of how prevalent it is, nurses need to be highly knowledgeable and skilled when it comes to educating and caring for their patients. Excess glucose may damage the blood vessels located in the eye. Breast milk also contains substances that help protect an infant against . Type 2 - This type of diabetes develops over time. SO flexion & appropriate warmer, isolette, instead of increased RR, 36.5 C. appropriate. False reassurances are never useful to the patient and only serve to alleviate the care providers distress. Help the patient to select appropriate dietary choices to follow a high fiber, low fat diet. Greater size results from fat deposits and hypertrophic liver, adrenals, and heart. Monitor for signs and symptoms of hypoglycemia (see table 1). The text utilizes a highly-readable writing style and . Refer the patient to physiotherapy / occupational therapy team as required. 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. Dietary changes. Nursing Care Plan for Diabetes 1. If reagent strips indicate blood glucose levels less than 45 mg/dL, findings should be verified by laboratory and reported to pediatrician. Nursing Diagnosis: Risk for Fluid Volume Deficit related to the failure of regulatory mechanism. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Evaluate the mothers perceptions and understanding of breastfeeding, as well as the amount of education she has received. Hyperglycemia may cause Kussmauls respirations and/or acetone breath. Advise the patient to perform proper foot care. Milia is a white, tiny papule that appears on the cheek or bridge of the nose in certain newborns and disappears between 2 and 4 weeks of age. These include: Other complications may include skin problems, hearing impairment, depression, and Alzheimers disease. Antibiotic therapy is also important in preventing the development of infection in the site of the wound. Type 1 respiratory vital signs, Dry skin and diabetes alkalosis for palpable. smoking, excessive alcohol intake, high sodium and/or. 6. The patient will show problem-solving abilities and engage in society at a normal level. Perform an initial head-to-toe assessment, particularly checking for the presence of any wounds and cuts. Patients who are previously diagnosed with diabetes who have elevated blood glucose levels should have their diabetes treatment evaluated. Fractures and nerve damage may occur from birth trauma if the infant is LGA. Demonstrate how to perform blood sugar monitoring. To prevent the development of infections that may be associated with poor wound care and hygiene. Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Risk for respiratory distress syndrome increases (high insulin levels interfere with production of pulmonary surfactant). 3. This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. Patients can better problem-solve and seek help if they recognize that their reactions are normal. The blood glucose monitoring device is a handy and accurate way of assessing blood glucose levels. mucous mellitus can ketoacidosis. 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. To assess a pulse that has grown weak or thready as a result of a below-normal level of oxygen in the newborns blood. Low fat, low calories, and high fiber foods are ideal for diabetic patients. Untreated hypoglycaemia has a high mortality rate, and prolonged or severe neonatal hypoglycaemia can result in brain injury and adverse neurological outcomes; which may impact the neonate well into childhood. High blood glucose levels result inpoor blood circulation which further leads to delayed wound healing. Discuss how the clients anti-diabetic medications work. Obtain hematocrit value; report the findings to the physician. Determine clients readiness as well as his barriers to learning. Gestational diabetes is characterized by pregnancy-induced insulin resistance. The high glucose levels in the blood may damage the blood vessel walls, including the arteries of the heart. Before To empower patient to monitor his/her blood sugar levels at home. Please enable it to take advantage of the complete set of features! The patient will be able to begin making lifestyle modifications that will allow adaptation to current circumstances. Insulin therapy. Thus, it will make problem-solving easier. To create a baseline of activity levels and mental status related to fatigue and activity intolerance. Clients and nurses identified most urgent need may differ and require adjustments in the teaching plan. too much insulin dose may result to hypoglycemia, while too little insulin dose may lead to hyperglycemia). Diabetic control needs constant energy and thinking, which might cause a relationships focus to shift. Knowing the patients personality might aid in determining therapeutic goals. Provide feedback or positive reinforcement and evaluate the learning of skills. Start intravenous therapy as prescribed. 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. One of the tasks that a healthcare provider does with a newborn is taking their vital signs. verbalized. Desired Outcome: The patient will be able to achieve a weight within his/her normal BMI range, demonstrating healthy eating patterns and choices. Encourage the patient to perform self-care and provide positive reinforcement for efforts. The infant of the diabetic mother: The critical developmental windows. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. 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. Alternate periods of physical activity with rest and sleep. The respiratory evaluation is the most crucial assessment before anything else. To give the patient enough information on the risks of blood sugar control (e.g. 7-10 points: The newborn is deemed to be healthy and in good condition. To quickly identify fluctuating blood glucose levels for immediate correction. Describing earlier experiences helps to build successful coping mechanisms while also assisting in the elimination of dysfunctional coping mechanisms. . Nursing diagnoses handbook: An evidence-based guide to planning care. Administer oral care by moistening lips, as well as skin care by bathing on a regular basis. Summarize as needed. Bookshelf A newborn infant of a diabetic mother may develop one, or more, of the following: Hypoglycemia. A proper visitation schedule when the infant is hungry and eager to be fed can make the newborn drink breast milk adequately. Review and discuss the clients carbohydrate intake.

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