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ASSESSMENT NURSING

DIAGNOSIS
INFERENCE PLANNING INTERVENTIONS RATIONALE EVALUATION
SUBJECTIVE:
“ konting
gatas lang ang
lumalabas sa
akin. “ as
verbalized by
the mother.
Ineffective
breastfeeding
r/t inability to
latch on
secondary to
knowledge
deficit
Breastfeeding is
considered the
safest, simplest,
and least
expensive way
to provide
complete
neonate
nourishment. It
is both an
advantage for
the baby and
the mother. For
them mother it
helps in the
uterine
contraction,
protection from
breast cancer,
and
empowerment.
For the baby, it
gives passive
immunity
during the first
months of life,
increase brain
development
and it is full of
After 1-2 hours
of nursing
intervention,
the client will
be able to:
Short term:

A. verbalize/
demonstrate
understanding
of the proper
breastfeeding


















1. Conduct health
teaching about
proper
breastfeeding,
breast care and
care for the
infant






2. Inform the
mother about
the early infant
feeding (e.g
rooting, lip
smacking and
sucking
fingers/hands)








Help the client
understand the
proper
facilitation of
care of the
infant and to
provide
satisfying
feeding time
for both
mother and
baby.

Promotes
timely feeding
experience for
infant and
mother




After 1-2 hours of
nursing intervention,
the client partially
achieved the goal and
was able to:

A. “kailangan ko
padedehin yung
baby ko para
maging healthy
siya.”
B. “hinahayaan ko
lang sumipsip at
dumede siya
akin.” As
verbalized by
mother.










nutrients.

There are some
factors that can
affect the
breastfeeding
process which
eventually can
bring bad
effects and
unsatisfying
feeding process
for both the
baby and the
mother.


3. Encourage the
mother to stroke
the neonate’s
cheek with
fingers or the
nipple

4. Encourage the
mother to relax
during
breastfeeding

5. Alternate the
breastfeeding
from either
breast











6. Always clean
the nipples and
the areola before
feeding
Encourage let-
down reflex





Encourage let-
down reflex



Every 15mins
for the first 24
hours; but
eventually, the
best thing to do
is to never
break the good
latch on; the
neonate
doesn’t start to
receive fat-and-
protein rich
hind milk after
15 mins

To avoid
contamination
of the milk and
have a clean



7. Wear well-
fitting and
cotton-strapped
supportive bras

8. Encourage
maternal support
from the
husband and
other family
members

9. Encourage
mother to use
the bathroom
and change the
babies diapers
before
breastfeeding

10. Eat healthy
foods and
increase caloric
intake




and safe
feeding process

To hold all the
breast tissues



Support from
loved ones
plays important
factors to
successful
breastfeeding

Avoid
interruption






If maternal
intake is poor,
the nutrient
intake in her
breast milk may
become
inadequate


Prepared by:

Buhay, Lester John B.
NR-21

11. Increase fluid
intake
To maintain
adequate
hydration (one
8oz glass of
water each
time of
breastfeeding)