Baby M is a patient who was born yesterday at 35 weeks gestation. Baby M’s mother had a history of severe preeclampsia during pregnancy, and was induced at 35 weeks for uncontrolled hypertension. Baby M weighs 1600 Gms, which is under the 5th percentile on the growth charts. Baby M is being treated for Respiratory Distress Syndrome, secondary to prematurity. Baby M is currently under a radiant warmer and is receiving humidified oxygen 30% at 2L/min via nasal cannula. The vital signs are as follows: temperature- 98-99 F, heart rate-150-160 beats per minute, respirations- 70-80 breaths per minute, Oxygen saturation 88% on room air/ 96% on 30% oxygen. Baby M is currently NPO and is receiving an IV of Dextrose 10/water at 7mL/hr. Mom plans to breastfeed the baby. Using your NANDA-I book, choose one actual nursing diagnosis and one “Risk for” diagnosis for this client. Describe a nursing intervention, the rationale for choosing the intervention, and a nursing outcome for each NANDA-I diagnosis. Remember that Nursing Outcomes must be measurable and contain a time frame for completion.

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