Which nursing diagnosis is most appropriate for a newborn diagnosed with a diaphragmatic hernia?

Question

Quizplus · Accepted Answer

Herniation of the abdominal viscera into the thoracic cavity may cause severe respiratory distress and represent a neonatal emergency.Oxygen therapy,mechanical ventilation,and the correction of acidosis are necessary in infants with large defects.Although imbalanced nutrition,related to less than body requirements,may be a factor in providing care to a newborn with a diaphragmatic hernia,the priority nursing diagnosis relates to the oxygenation issues arising from the lung hypoplasia that occurs with diaphragmatic hernia.The nutritional needs of this infant may be a clearly identified need; however,at this time the nurse should be most concerned about impaired gas exchange.This infant is at risk for infection,especially once the surgical repair has been performed.The extent of the herniation may have hindered normal development of the lungs in utero,resulting in respiratory distress.

Which Nursing Diagnosis Is Most Appropriate for a Newborn Diagnosed