ASSESSMENT

Subjective data:

Objective data:

Minsan ayaw
niya mag dede,
as verbalized by
the patient

Observable
signs
of
inadequate
infant
intake( decreas
e in number of
wet diaper )
Infant
arching
and crying at
the breast with
resistant
to
latching on.
Infant exhibits
fussiness
and
crying within the
first hour
after breastfeeding

NURSING
DIAGNOSIS
Ineffective
breastfeeding
related to
interruptions in
breastfeeding

GOAL/ OBJECTIVE

Short term goal:

After a 6 hours of shift the mother
will:

Verbalized
understanding of
causative factors

Demonstrate
techniques to
improve or
enhance
breastfeeding
experience
Assume
responsibility for
effective
breastfeeding

INTERVENTION

Assess
client
knowledge
about
breastfeedi
ng
and
extent
of
instruction
that
has
been given

Perform
physical
assessmen
t
,noting
appearanc
e of breast
or nipples,
marked
asymmetry
of breast ,
obvious
inverted or
flat nipples
, minimal
or
no
breast
enlargeme
nt
during
pregnancy

Determine
any infants
sucking
problems

Provide
emotional
support to
mother( ins
truction
with each
feeding
during
hospital
visit)

Inform
mother
about early
cues( rooti
ng,
lip
smacking,
sucking
fingers or
hands)
versus late
cues
of
crying

Long term goal:

After 2-3 days of

nursing
interventions the mother
will familiarize the
different techniques for
effective breastfeeding
infant will gain an
adequate intake
of milk from her
mother

EVALUATION

Short term:
After the 6 hrs. of shift g
was met as evidenced
the mothers understan
of the causative factors
improved breastfeedin

Long term:
Goal met as evidenced
an effective maintaine
breastfeeding .