CHAPTER 4

CONCLUSION
4.1. Summary
Based on the result of nursing care given to Mrs.Rs baby with medical
diagnoses Low Birth Weight Infant (LBW) on 8
th
-13
th
may 2014 at teratai ward
(baby) Banjarmasin Ulin General Hospital we can conclude the assessment
obtained Mrs.Rs baby born with weight 17.50 grams, with a gestational age of
32 weeks, Mrs.Rs baby composmentis state with vital signs: pulse 120 x /
minute, respiration 48x /minute, body temperature of 36.1
o
C. Anthropometric
examination results are: body weight 17,50 grams body length 43 cm, head
circumference 31cm, chest circumference 25cm, upper circumference 8 cm.
rooting reflex (to the nipple) negative, sucking reflexes positive (sucking) weak,
and swallowing reflexes (swallowing) is positive because there is no disruption
in swallowing.

Nursing diagnoses that appear in Mrs.Rs baby among others: imbalance
nutrition less than body requirements related to a weak sucking reflex and
inadequate nutritional intake, the risk of changes in body temperature risk factors
immaturity subcutaneous fat tissue, and risk of infection risk factors immaturity
of the immune / immunologist, the possibility of cross-infection.

The implementation of interventions and diagnosis imbalance nutrition less than
body requirements related to a weak sucking reflex and inadequate nutritional
intake, that handling is the baby need nutrition through a feeding infant formula
and breast milk pipette, and monitor weight gain. Handling problems with the
risk of changes in body temperature regulate, the body temperature to remain
stable Mrs.Rs baby, among others: warp with baby blankets and reduce
exposure to outside air and limited heat loss. Handling of the risk of infection by
preventing the occurrence of infection by doing all the maintenance action
procedure sterile, aseptic bathing and Wrap the baby, monitor vital signs as well
doing a good cord care and correct.

Results of evaluation of nursing care Mrs.Rs baby, namely: Imbalance nutrition
less than body requirements resolved during the 6
th
days of treatment. Risk of
changes in body temperature still happen after 6
th
days of treatment. The risk of
infection does no occur again in the 6
th
day treatment.

4.2. Suggestion
4.2.1. To the Hospital.
So that each high-risk infants conducted investigation and complete
diagnostic examination that the formulation of nursing diagnoses can be
done accurately, so that the implementation of nursing care to infants be
maximized and the hospital is expected to need improve knowledge and
skills in handling cases of Low Birth Weight (LBW) as well as facilities
and infrastructure in accordance with nursing standard of nursing care
given to provide satisfactory results.
4.2.2. To Student.
To constantly improve their knowledge and skills of good nursing care.
4.2.3. Client and Families
Need support and cooperation of parents and families in implementing
Mrs.Rs baby to help prevent the occurrence of the risks and
complications that occur in LBW infants.






APGAR
(Appearance, Pulse, Grimace, Activity, Respiration)

The APGAR test is done by a doctor, midwife, or nurse. The health care provider
will examine the babys:
Breathing effort
Heart rate
Muscle tone
Reflexes
Skins color

Each category is scored with 0, 1, or depending on the observed condition.

Breathing effort:
o If the infant is not breathing, the respiratory score (0).
o If the respirations are slow or irregular, the infant score (1) for
respiratory effort.
o If the infant cries well, the respiratory score is 2.

Heart rate is evaluated by stethoscope. This is most important assessment:
o