Nursing Care Plan Ineffective Infant Feeding Pattern 1h5e30

Assessment

Diagnosis

Inference

Planning

Premature birth 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 fontanels and eyeballs

Ineffective infant feeding pattern related to hypotonia secondary to prematurity

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

dehydration

Interventions

Rationale

Evaluation

Serves as a baseline information and any changes may indicate worsening of infants condition

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

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

 Monitor vital signs

 Provide calm, quiet, and nonstimulating environment while feeding

 Position infant on right side or prone, with head of mattress elevated 30 degrees

 Encourage/suppo rt mother’s efforts to pump and collect own breast milk

Excessive stimulation may interfere with feeding

Facilitates gastric emptying and prevents reflux

Breast milk is easy to digest

To detect excessive

weight loss early  Weigh neonate at the same time each day on the same scale

 Continuously assess neonate’s sucking pattern

 Assess parent’s knowledge of feeding techniques

 Assess parent’s level of anxiety about the neonate’s feeding difficulty

 Monitor neonate for poor skin turgor, dry mucous membranes, decreased or concentrated

To monitor for ineffective

To help identify and clear up 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

To ensure that the

urine, sunken fontanels and eyeballs

neonate is awake and alert enough to suckle sufficiently

 Teach parents to unwrap and position a sleepy neonate before feeding

To prevent aspiration

 Teach parents to place neonate in the upright position

For hydration and glucose

Dependent:

Neonate may require alternative means of obtaining adequate fluids and calories.

 IVF monitored and regulated as prescribed

 Gavage feeding may be indicated