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 arent 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 mothers
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
neonates
sucking pattern
Assess parents
knowledge of
feeding
techniques

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

Assess parents
level of anxiety
To ensure that the
about the
neonates
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