The Apgar scoring is done during the first 1 minute and 5 minutes of life. Assessment for Well-Being. I hope this might help someone! CH is a minor injury that occurs most often during labor and delivery. Risk for Impaired gas exchange related to antepartum stress, excessive mucus production, and stress due to cold. Although it’s considered a minor injury that usually heals without any major medical problems, there are certain factors that may lead to additional complications. Please help me!! Nursing is made difficult as the baby will not lay on the bump side of the head and so I need to use the football hold on one side, cradle on the other. The swelling crosses the suture lines. Assessment of the newborn immediately starts the moment he or she is delivered, and there are a lot of standard assessments used to evaluate them rapidly.. Apgar Scoring. #2 Risk for The heart rate, respiratory rate, muscle tone, reflex irritability, and the color are evaluated in an infant.
I have read all about cephalohematoma and i really cant figure out if risk for bleeding or knowledge deficit is the most important. Cephalohematoma (CH) is an injury that can occur in infants during delivery. Damaged blood vessels release the blood, and the blood pools into a mass under the skin of the scalp. Here are my nsg diagnosis: #1 Risk for newborn injury (neurological), related to elevated serum bilirubin levels secondary to hemolysis of RBCs occurs in cephalohematoma as manifested by bilirubin level of 12 mg/dl. See care plans for maternity and obstetric nursing: Ok i am doing a project for school and we have to do a nursing diagnosis for cephalohematoma. Caput succedaneum and cephalohematoma are conditions that rarely evoke much concern in the NICU but deserve more attention.
Nursing care plans related to the care of the pregnant mother and her infant. Learn about the causes, outlook, and more. Cephalohematoma Picture 1: Showing the Scalp, Periosteum, Hemorrhage and Cranium Cephalohematoma Picture 2 (Top of Baby’s head) : Cephalhematoma, Galea aponeurotica, Scalp, Subgaleal hemorrhage, Skull and periosteum, Dura mater, Arachnoid membrane, Sudural hematoma and Epidural Hemorrhage Cephalohematoma (CH) is a collection of blood between a baby’s scalp and the skull. Typically, the edema is just about the size of the large egg, but it Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale.