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290 MATERNAL-INFANT NURSING CARE PLANS preterm birth L immunity t invasive procedures Sepsis Neonatorum chorioamnionitis blood borne pathogens vaginal, GI organisms Immature Immunological System + Exposure I I I + + Prenatal Intrapartum congenital PTL $. malformations pretem ROM 4-ascending I pathogens-1 * Neonatal I 1... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
NEWBORN 29 1 Human immunodeficiency virus, type 1 (HIV-1) is the causative organism for AIDS (acquired immunodeficiency syndrome). The HIV retro- virus replicates in the nucleus of T-4 helper lym- phocytes (identified by the CD4 surface antigen), causing premature death of those cells. This results in a profound depres... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
232 ~TE~~-INF~T NURSING CARE PLANS Adtlitlonal Diagnoses and Plans Related to: Immature immunological system. Possible exposure to maternal infected blood and body fluids (HIV, Hepatitis B). Possible immune suppression secondary to transplacental HIV infection. ~e~n~n~ Characteristics: None, since this is a potential d... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
NEWBORN 293 INTERVENTIONS RATIONALES Isolate infant if indicated by presence of infection (specify: e. g., CMV, enteric infection, etc. ). Administer prophylactic medications as ordered (specify e. g. immune glob- ulin for infants of hepatitis B infected mothers). Teach mother to wash her hands before caring for infant... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
294 MATERNAL-INFANT NURSING CARE PLANS INTERVENTIONS RATIONALES of thrush (white patches) and notify caregiver. Administer medications as ordered (specify: e. g., Nystatin for thrush). Assess infant for first stool and urine. Obtain speci- mens as needed. Label and notify lab of possible HIV status per agency protocol.... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
NEWBORN 295 INTEKVENTIONS RATIONALES feeding (and formula preparation) at discharge per infant's caregiver. discharged. ment of caregiver's instruc- tions after family has been (specify for infant). Infant will ingest adequate formula to meet body needs (specify calories and ounces of formula needed each day). Evaluati... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
296 MATERNAL-INFANT NURSING CARE PLANS INTERVENTIONS RATIONALES ~ Resources may help ease the financial burden and social isolation of parents. Planning to provide for their infant's needs is part of effective parenting. Intervention empowers parents to make needed changes in lifestyle or ded- sions about infant care. ... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
NEWBORN 297 HIIVAIDS perinatal exposure maternal HIV/AIDS $. transplacental intrapartum breast milk 1 transmission of HIV retrovirus to fetus/neonate nucleus of helper T-lymphocyte (CD4 surface antigen) 4- replication of HIV destruction of T lymphocyte-release of HIV from cell 1 4 helper T-lymphocytes 1 & monocyte-macr... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
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NEWBORN 299 Infant of Substance Abusing Mother Infants of mothers who use alcohol and/or illicit drugs during pregnancy are at risk for congenital defects, pregnancy complications, passive addic- tion, or a combination of these problems. Social or recreational alcohol and drug use is relatively common in women of child... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
300 MATERNALINFANT NURSING CARE PLANS Additional Diagnoses and Plans Infant Feeding Pattern, Ineflective Related to: Muscle weakness/hypotonia secondary to neurological impairment, maternal substance use, congenital defects, or lack of maternal skill (specify). Defining Characteristics: Infant is unable to initi- ate o... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
NEWBORN 30 1 Defining Characteristics: Infant is irritable, rest- less, and hyper-responsive to stimulation. Sleep pattern is short and easily interrupted (specify: e. g., sleeps lightly for 20 minutes and wakes with a shrill cry). Goal: Infant will experience an improved sleep pattern by (datehime to evaluate). Outcom... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
302 MATERNALINFANT NURSING CARE PLANS Defining Characteristics: Specify (e. g., irritability, tremors, seizures, tachycardia, tachypnea, apnea, sneezing, gagging, yawning, hypotonia, lethargy, shrill cry, difficult to console, etc. ). Goal: Infant will demonstrate increase in behav- ioral organization by (datehime to e... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
NEWBORN 303 Evaluation (Datehime of evaluation of goal) (Has goal been met? not met? partially met?) (Does infant exhibit periods of quiet alert state? Describe changes in motor excitability. How is infant consoled? Has this improved?) (Revisions to care plan? D/C care plan? Continue care plan?) | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
304 MATERNALINFANT NURSING CARE PLANS Infant of Substance Abusing Mother Maternal Prenatal Substance Abuse Congenital Defects FAS craniofacial malformations congenital heart or brain defects microencephaly 1 Birth 1 withdrawal Pregnancy Complications PIH abruptio placentae placenta previa asphyxia preterm LBW CNS GI Re... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
REFERENCES 305 | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
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REFERENCES 307 References Bobak, I. M., and Jensen, M. D. Maternity and Gynecologic Care: The Nurse and the Family, 5th Ed. St. Louis, MO: Mosby-Year Book, 1993. Carpenito, L. J. Nursing Diagnosis: Application to Clinical Practice, 7th Ed. Philadelphia, PA: J. B. Lippincott, 1997. Cunningham, G. F., et al. Williams Obs... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
308 MATERNAL-INFANT NURSING CARE PLANS Findlay, R. D., et al. “Surfactant Therapy for Meconium Aspiration Syndrome. ” Pediatrics 90( 1): 48-52, 1996. Gebauer, C. L., and Lowe, N. K. “The Biophysical Profile: Antepartal Assessment of Fetal Well-Being. ” JOGNN 22(2): 1 15-124, 1993. Giotta, M. I? “Nutrition During Pregna... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
REFERENCES 309 Schmidt, J. V. “Intrapartum Care of the Adolescent. ” 7 Health Nursing 1(2):132-138, 1995. Schroeder, C. A. “Women's Experience of Bed Rest in High-Risk Pregnancy. ” IMAGE 28(3): 253-258, 1996. Swanson, S. C., and Naber, M. M. “Neonatal Integrated Home Care: Nursing Without Walls. ” Neonatal Network 16(7... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
Career Colleges/Community Colleges and Post Secondary Vo-Techs For desk or review copies call: 1-800-477-3692 or fax 1-518-464-0301 For orders call: 1-800-347-7707 or fax 1-606-647-5023 Mail to: ITP Career Education Attn: Order Fulfillment P. O. Box 6904 Florence, KY 41022 Email: info@delmar. com Four-Year College KJni... | Maternal Infant Nursing Care Plans by Karla Rnc Msn Luxner z-lib.org.pdf |
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