Nursing Care Plan

Name of Patient: Patient X

Date of Admission: February 18, 2019

Background
Assessment Nursing Diagnosis Planning Nursing Intervention Rationale Evaluation
Knowledge
Objective: Newborns easily lose Risk for hypothermia After 4 hours of 1. Identify patient 1. After 4 hours,
 Shivering heat and have related to inability of nursing intervention, (newborn and newborn’s
 Presence of difficulty in newborn to conserve newborn should be mother) temperature is 37°C
Acrocyansis conserving energy. heat normothermic. 2. Monitor vital signs
 Skin cool to They are able to 3. Assess Newborn’s mother
touch produce heat by Mother should be contributory was educated on
 Temperature: performing activities taught on factors (example: interventions to help
36°C such as kicking and interventions to help room newborn conserve
 RR : 66 breaths crying however, it newborn conserve temperature) heat.
per minute may fatigue them heat. 4. Dry and place
easily. newborn on their
mother’s
abdomen (covered
by warm blanket
5. Re-assess
newborn
symptoms, and
temperature
6. Perform health
teaching on
mother regarding
interventions to
help newborn
conserve heat.
7. Document findings