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Karisa M. Young April 28, 2005

Nursing 374L Nursing Care Plan

Twin ‘B’ was born on Monday February 14, 2005 at 35 weeks gestation. The mother was scheduled for a cesarean section at 38 weeks gestation, but presented in the hospital early with signs of labor. A cesarean delivery was performed. Twin ‘B’ APGAR scores at 1 minute and 5 minutes were 9 and the newborn weighted 4lbs 3 oz. Upon completion of the assessment, the newborn’s temperature decreased to 96.1 degree Celsius (axillary). Diagnosis Dx: Ineffective thermoregulation related to immature temperature control and decreased subcutaneous body fat. Plan/Goal Plan: to monitor newborn closely to maintain temperature and prevent hyperthermia and cold stress Goals: Long-term: Newborn will be able to sustain adequate/normal self thermoregulation. Short-term: Provide assistance and support to 2. Mother will verbalize possible methods of heat loss & demonstrate understanding of conduction, convection, radiation, &......

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Approximate Word Count: 382
Approximate Pages: 2 (250 words per double-spaced page)

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