FORUM 1 (for grp 1)- CARE OF THE INFANT

CARE OF THE INFANT

CARE OF THE INFANT

by Kyla Reine Dayag -
Number of replies: 0

HEALTH CARE PLAN (CARE OF THE INFANT)

ASSESSMENT CUES

SUBJECTIVE CUES:

  • The client’s children are a 4-month-old infant and a 1.5-year-old toddler.
  • The client is currently breastfeeding.
  • The client feels that her infant is not growing well enough.
  • The client reported that she will leave her children under the care of her 18-year-old sibling to start a new job.

OBJECTIVE CUES:

  •  The client’s infant has normal weight gain.
  • The infant’s weight, length, and head circumference are within normal range.
  • The infant has a social smile, has good head control, and can rollover.

NURSING DIAGNOSIS:

  • Readiness for Enhanced Childrearing Process (0028)

GOALS & OUTCOMES (NOC):

  • NOC:
    • Knowledge: Breastfeeding (1800)
    • Knowledge: Infant Care (1819)
    • Parenting Performance: Infant/Toddler Physical Safety (2900)
  •  GOAL:
    • After the health education, the client exhibits an understanding of normal infant development and plans for the future care of children.
  • OBJECTIVES:
    • After 45 minutes of nursing intervention, the client will be able to:
      • Recognize that her infant’s anthropometric measures and developmental changes are normal and appropriate for his age.
      • Explain the nutritional needs and requirements of her infant.
      • Recognize the safety risks of putting jewelry on the baby.
      • Reflect on her care for her toddler.
      • Plans for the future care of the child. 

INTERVENTIONS (NIC & RATIONALE):

  • NIC: 
    • Parent Education: Infant (5568)
    • Referral (8100)
    • The nurse will:
      • Discuss that the infant’s anthropometric measures are within the normal values using the Growth Chart
      • Demonstrate infant reflexes to the mother and explain the importance

(Rationale: These interventions address the concern of the client regarding her infant’s development. By using the Growth Chart, the nurse will be able to explain the normal and abnormal values of weight, height, and HC. By demonstrating the reflexes, the nurse can show the infant’s strengths which further consolidates the client’s belief that her infant is growing well.) 

      • Discuss the nutritional needs and requirements of her infant
      • Give information on breastfeeding
      • Demonstrate how to read nutritional labels

(Rationale: The aspect of nutrition is one of the client’s primary concerns. By doing all of these interventions the nurse equips the client with knowledge about breastfeeding and infant nutrition in general. The nurse would also be able to address the necessity of multivitamins for the infant. All of these will the mother to practice EBF for at least 6 months. Lastly, teaching the client on reading nutritional labels will help her choose appropriate food products, especially formula milk for her infant.)

      • Evaluate the need for accessories
      • Give brief information on how accessories may cause aspiration and suffocation
      • Encourage the client to maintain supervision if the infant is wearing jewelry

(Rationale:  These interventions guide the client to be vigilant for risks that threaten her infant’s safety. Evaluating the necessity of jewelry will enable the nurse to know the religious, superstitious, and other purposes, this opens an opportunity to address any misconceptions about childcare.)

      • Evaluate the client’s care for the toddler for the past months
      • Encourage the client to devote attention and spend time with the toddler

(Rationale: Sibling rivalry is common among toddlers. Preventing this early will hinder any safety risks to the infant.)

      • Refer the client to any nearby children's centers
      • Encourage the client to delay job entry until children are older or leave them under the supervision of experienced relatives
      • Assess the capacity of the 18-year-old sibling regarding childcare

 (Rationale: These interventions recognize the potential safety risks of leaving the children under the supervision of an adolescent. Referring the client to child centers such as preschool and nursery centers would be ideal. The other interventions can also help the client to consider her decision. If all else fails, the nurse will also assess the childcare capacity of the 18-year-old and advise the client to educate and involve her in childcare in advance.)

EVALUATION:

  • The client verbalizes understanding of normal anthropometric measures, developmental milestones of infants in at least 1 sentence.

  • The client answers at least 4 out of 5 questions about her infant’s nutrition correctly.

  • The client correctly interprets the nutritional label given.

  • The client verbalizes understanding of child safety regarding aspiration and suffocation in at least 1 sentence.

  •  The client verbalizes reflection on her care for the toddler in at least 1 sentence. 

  • The client plans for the future care of her child by listing at least 2 ways on how her children will be cared for in the future.The client and her sibling answer 8 out of 10 questions about childrearing correctly.