CUES Subjective: Madali siya mapagod kapag pinapasuso as verbalized by the mother.

Objective: Body weight of 900 grams ( 36% under ideal weight) Poor sucking reflex Pale mucous membran e Easy fatigabilit y

NURSING DIAGNOSIS Imbalanced nutrition: less than body requiremen ts related to inability to ingest food/ milk secondary to prematurity as manifested by body weight of 900 grams and weakness of muscles required for sucking and swallowing

RATIONALE
Premature infant usually have low birth weight. The major problem of the preterm newborn is the immaturity of all system. They have difficulty in meeting high caloric and fluid needs for growth due to small stomach capacity. A marked danger of aspiration and its associated complications due to the infants poorly developed gag reflex, incompetent esophageal cardiac sphincter, and poor sucking and swallowing reflex. Reference: A Look at Contemporary MaternalNewborn Nursing Care(6th Edition); Ladewig,

OBLECTIVES

INTERVENTION

RATIONALE To monitor effectivenes s of feeding pattern To have effective weight gain To promote bonding between patient and mother To give satisfaction to the mother and baby To improve weight and nutrition in the body

EVALUATION After 1 week of nursing intervention the client was able to gain a weight of 1000 grams from 900 grams.

After 1 week Independent: of nursing Weigh the patient intervention at regular the client will intervals and be able to document results gain a weight Administer the of 1200 ordered food grams from intake for 900 grams. orogastric feeding as prescribed by the physician Encourage mother to perform breastfeeding as per demand Teach the mother the proper position in breastfeeding

Dependent: Administer pharmaceutical agent to the patient as ordered : minerals/ vitamins

London, Davidson; Pearson Education, South Asia, PTE.LTD.Philippi nes; 2008 p.461