Psychobiological Needs
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Nutrition |
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Exclusive Breastfeeding (10039503), |
Feeding when wanted exclusively with breast milk, excluding all other foods, in the first six months of the child’s life. |
5 |
62.5 |
Preserved Breastfeeding |
Feeding when wanted with breast milk, with artificial milk complementation, in the first six months of the child’s life. |
1 |
12.5 |
Effective Sucking |
Extraction of milk from the mothers breast using lip muscles and tongue effectively. |
6 |
75 |
Effective Feeding Behaviour |
Feeding (human milk or formula) influencing the sufficient ingestion of nutrients to satisfy metabolic needs. |
8 |
100 |
Effective Swallowing |
The effective passage of liquids from the mouth to the esophagus and then for the stomach. |
7 |
87.5 |
Effective Weight |
Newborn weights about 2,500 at birth. |
6 |
75 |
Interrupted Breastfeeding (10000774) |
Breastfeed stops being provided due to pathologies or clinical state of the mother, the newborn, or to other personal factors related to the mother. |
2 |
25 |
Impaired Feeding Behavior |
Difficulty feeding (human milk or formula) influencing insufficient ingestion of nutrients to satisfy metabolic needs. |
2 |
25 |
Impaired Weight (10013016) |
Newborn weighting below 2,500 grams at birth. |
2 |
25 |
Hypoglycaemia (10027566) |
Serum levels below 40 mg/dl in newborn with less than 72 hours of life. |
1 |
12.5 |
Elimination |
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Faeces Within Normal Limits |
Bowel eliminations with adequate characteristics, frequency, smell, and color. |
6 |
75 |
Normal Urine |
Bladder eliminations with adequate characteristics, frequency, volume, smell, and color. |
8 |
100 |
Mild Constipation |
Diminution in the frequency of bowel eliminations (less than 4 times a day), accompanied with difficulties passing the feces or incomplete passage, with feces that may be excessively dry and hard. |
1 |
12.5 |
Mild Colic |
Abdominal discomfort manifested through strong crying, redness, and signs of irritability. |
3 |
37.5 |
Therapy |
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Effective Peripheral Intravenous Access |
Newborn intravenous access (from a peripheral vein) capable of infusing the prescribed volume with no tissue lesions in the blood vessels or underlying tissues. |
7 |
87.5 |
Effective Response to Pain Control |
After pain control measures are implemented, the newborn has a negative score for pain according to specific scales.‑ |
1 |
12.5 |
Sleep and rest |
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Impaired Sleep (10027226) |
Interruption in the amount and quality of sleep in the newborn due to internal or external factors. |
2 |
25 |
Neurological Regulation and Nutrition |
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Normal Sucking Reflex |
Capacity of performing movements with the lips and tongue, forming a vacuum in the oral cavity, after 27/28 weeks of gestational age, after stimulated. |
6 |
75 |
Neurological Regulation |
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Impaired Motor Reflex |
Reflexes related to altered psychomotor development (rooting, stepping, Moro, grasp, and Babinski). |
1 |
12.5 |
Skin and Oral Mucous Membrane Integrity |
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Impaired Skin Integrity (10001290) |
Tears in the skin of the newborn due to lesions or invasion of its structure. |
2 |
25 |
Body Care |
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Impaired Anal Hygiene Behaviour |
Perianal area with rests of feces or other secretions and/or fetid smell. |
2 |
25 |
Oxygenation |
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Normal Respiration Rhythm |
Respiration rate from 40 to 60 per minute. |
8 |
100 |
Physical Safety |
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Risk for Fall (10015122) |
Potential for unintentional movement of the body of the newborn to a level below their initial position due to several factors related to the hospitalization. |
2 |
25 |
Psychosocial Needs
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Participation, Education for Health/Learning |
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Lack Of Knowledge of Breast Feeding (10029958) |
Lack of information on breastfeeding characterized by lack of adherence, difficulties learning, or lack of access to information. |
2 |
25 |
Lack Of Knowledge of Infant Care (10045623) |
Lack of information on infant care characterized by lack of adherence, difficulties learning, or lack of access to information. |
2 |
25 |
Lack Of Knowledge of Fall Prevention (10040230) |
Lack of information on the possibility of infant falls characterized by lack of adherence, difficulties learning, or lack of access to information. |
2 |
25 |
Love, acceptance |
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Effective Parent Child Attachment |
Establishing a close relationship between parents and the newborn. |
7 |
87.5 |