NurseThink® CJ Map Daniel Vogel
Assessments (Physiological Adaptation)
1. Infant 39 5/7 weeks
2.Meconium staining present, no
meconium found in oral or nasal
suctioning
3. Elevated RR and HR
Risk Factors (Health Promotion &
Maintenance/Reduction of Risk Potential)
1.Low SPO2
Name
Concept / Related Concept(s)
Gestational conditions
Exemplar(s)
Meconium staining
Brief Pathophysiology (Physiological Adaptation)
The fetus’s first stool is passed while still
in the uterus, the stool can contaminate
the amniotic fluid and cause respiratory
complications
Medical Diagnosis
Meconium staining
Psychosocial Concerns (Psychosocial
Integrity)
3. fear
Labs & Diagnostics (Reduction of Risk
Potential)
1. apgar score 6;7;8 (improving)
2. RR went from 61 to 48
(improving)
3.SpO2 went from 89 to 97%
(improving)
1. Monitor oxygen levels
2. Perform NB assessment and postpartum
assessment
3. Consult lactation specialist
Medications (Pharmacological & Parenteral
Therapies)
1.Titrate oxygen
3.
Replaced infiltrate iv to saline lock
Patient Teaching (Health Promotion &
Maintenance/Safety & Infection Control/
Management of Care)
1. Stress
2. Anxiety
Nursing Interventions (Basic Care & Comfort/
Safety & Infection Control)
2.Respiratory monitoring
2.Tachycardia
3.Irregular respirations
Date 2/5/23
1. Teaching parent about proper feedings
Potential & actual complications from treatments/
procedures (Physiological Adaptation/Reduction of
Risk Potential)
1.infection from meconium and may cause
pneumonia
2. Rapid breathing may cause respiratory distress
3. Temperature may become low
2. Educate about monitoring newborn
development
3.
Educate about the benefits of breastfeeding
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