Nursing Care Plan For Ineffective Infant Feeding Pattern N bzr

Student Nurses’ Community

NURSING CARE PLAN ─ Inefective Infant Feeding ASSESSMENT

OBJECTIVES:  Inability of the infant to suck effectively (poor sucking reflex)  Inability to coordinate sucking, swallowing and breathing  Inconsistent oral intake  Regurgitation after feeding  AOG of 30 weeks  feeling limp when held  Poor skin turgor  Sunken

DIAGNOSIS

Ineffective infant feeding pattern related to hypotonia secondary to prematurity

INFERENCE

Premature birth

Organs aren’t fully developed

Decreased muscle tone Inability to coordinate sucking and swallowing before 34 weeks gestation

Ineffective infant feeding pattern

Insufficient nutrient/fluid intake

PLANNING

After 8 hours of nursing intervention, the baby will improve his intake and be free of signs of dehydration.

INTERVENTIONS

Independent:  Monitor vital signs  Provide calm, quiet, and nonstimulating environment while feeding

RATIONALE

 Serves as a baseline information and any changes may indicate worsening of infants condition  Excessive stimulation may interfere with feeding

 Position infant on right side or  Facilitates gastric prone, with head emptying and of mattress prevents reflux elevated 30 degrees  Breast milk is easy to digest  Encourage/supp ort mother’s  To detect excessive efforts to pump weight loss early and collect own  To monitor for breast milk ineffective  Weigh neonate  To help identify and at the same clear up time each day

EVALUATION

After 8 hours of nursing intervention, goal partially met the infant's sucking reflex improved but there is still some sign of dehydration like poor skin turgor

Student Nurses’ Community

fontanels and eyeballs

dehydration

on the same scale  Continuously assess neonate’s sucking pattern  Assess parent’s knowledge of feeding techniques

misconceptions  Anxiety may interfere with the parent’s ability to help identify and clear up misconceptions  To detect possible dehydration and allow for immediate intervention

 Assess parent’s level of anxiety  To ensure that the about the neonate’s neonate is awake feeding difficulty and alert enough to suckle sufficiently  Monitor neonate  To prevent for poor skin turgor, dry aspiration mucous  For hydration and membranes, glucose decreased or concentrated  Neonate may urine, sunken require alternative fontanels and means of obtaining eyeballs adequate fluids  Teach parents to unwrap and position a sleepy neonate before

and calories.

Student Nurses’ Community

feeding  Teach parents to place neonate in the upright position Dependent:  IVF monitored and regulated as prescribed  Gavage feeding may be indicated