Reyzelin M.

Endrenal
BSN-4A

MECONIUM ASPIRATION IN NEWBORN

PATHOPHYSIOLOG SIGN AND SYMPTOMS
RISK Y o Cyanosis
o End-expiratory
o Mechanical grunting
MODIFIABLE NON- obstruction of the o Alar (nasal) flaring
FACTOR MODIFIABLE small airways, by o Intercostal retractions
FACTOR causing a chemical o Tachypnea
o Maternal pneumonitis and by o Barrel chest
hypertension Gestational Age activation of o Yellow-green staining
o Pre-eclampsia surfactant finger nails, umbilical
o Maternal drug o Meconium triggers cord and skin may be
abuse an inflammatory observed
o Fetal hypoxia response o Green urine maybe
o Maternal o Causing a noted
respiratory distress
TREATMENT AND
MANAGEMENT MEDICAL DIAGNOSIS LABORATORY AND
DIAGNOSTIC
o Sometimes suctioning of the Meconium Aspiration PROCEDURE
airways Syndrome (MAS)
o Measures to support breathing o Serum electrolytes
o Sometimes surfactant and Meconium aspiration o Acid base status
antibiotics syndrome on the presence of o Complete blood cells
o Treatment of any underlying meconium in the amniotic count
fluid at the time of birth, o Imaging studies (chest
respiratory distress, and
radiography, x-ray,
abnormal chest x-ray
results. ultrasonography, brain
NURSING DIAGNOSIS imaging

o Hyperthermia related to
hypermetabolic state secondary
to meconium aspiration EXPECTED OUTCOME

o Fluid volume deficit related to
failure of regulatory mechanism
secondary to meconium
aspiration syndrome
o Risk for interrupted
breastfeeding related to the
present condition of the infant as
evidence by separation of the
infant and the mother
o Infant will able to establish normal core temperature as
evidence by temperature and heart rate within normal range
for age.
o Patient was able to establish a balance of fluid volume at a
functional level as evidence by adequate urinary output, stable
v/s, good skin turgor and absence of edema.
o The mother is able to learn and demonstrate techniques that
can be done in order to sustain lactation until breastfeeding is
started. She will able to perform techniques on how to sustain
the newborn with breastmilk.
Reyzelin M. Endrenal
BSN-4A

MECONIUM ASPIRATION IN NEWBORN

ACTUAL NCP

Assessment Diagnosis Planning Intervention Rationale Evaluation

Hyperthermia After 2 hours Provide a To help GOAL WAS
Objective: related to of appropriate tepid sponge reduce the MET
Body hypermetaboli nursing bath for the core body
temperature c state interventions infant. temperature. After 2 hours
above normal of effective
secondary to the infant’
range (39.2C
meconium temperature Maintain To ensure the nursing
axillary)
aspiration will return to sterility of the safety of the interventions,
normal as equipment infant and infant was
Tachypnea
manifested that is used reduce the able to
(75 bpm)
by: for the care of risk of establish
Tachycardia the infant infection normal core
(160bpm)  The body temperature
temperature To reduce the as evidence
within Avoid sharing risk of by
Warm
normal equipment spreading temperature,
flushed skin limits (36. 4 with other any no signs of
to 37.2 C infants
Facial pathogens discomfort
axillary)
grimacing, such as
 Relief signs
To help grimacing
crying of Administer reduce the and crying,
discomfort
anti-pyretic as core body and heart
such as
prescribed temperature. rate within
grimacing
and crying normal range
for age.
 Pulse and
breathing
frequency
within
normal
limits.
Reyzelin M. Endrenal
BSN-4A

MECONIUM ASPIRATION IN NEWBORN

POTENTIAL NCP
Assessment Diagnosis Planning Intervention Rationale Evaluation
Fluid After 8 hours Monitor the vital To check for After 8 hours
Objectives: volume of nursing signs and inform any effects of of nursing
deficit intervention the healthcare fluid volume interventions
Decreased related to the patient team for any deficit due to the patient
BP failure of will able to alterations. increased body was able to
Decreased regulatory establish a temperature. establish a
urine output mechanism balance of balance of
Dry mucous secondary fluid volume Moisten the lip To provide fluid volume
membrane to at a and provide adequate oral at a
Poor skin meconium functional daily tepid care and skin functional
turgor aspiration level as sponge bath. care to the level as
Nails are syndrome evidence by infant evidence by
pale adequate adequate
Monitor the To check for
urinary urinary
urine output and any effects of
output, output,
its specific fluid volume
stable vital stable v/s,
gravity. deficit due to
signs, good good skin
skin turgor increased body turgor and

and absence temperature. absence of

Administer
of edema. edema.
intravenous To replace any
fluid fluid losses.
replacement as
prescribed.
 Reyzelin M. Endrenal
BSN-4A

MECONIUM ASPIRATION IN NEWBORN

Assessment Diagnosis Planning Intervention Rationale Evaluation
Objective: Risk for After 4 hours Demonstrate to to help the After 4 hours
interrupted of nursing the mother the mother deliver of nursing
Reduced breastfeedin interventions proper use of breastmilk to the interventions
sucking g related to the mother manual piston- infant more the mother
Infant the present will: type breast efficiently. was able to
inability to condition of pump. Allow the learn and
latch on the the infant as • Identify and mother to demonstrate
maternal evidence by demonstrate demonstrate its techniques that
breast separation of techniques to use in front of the can be done in
feeding the infant sustain nurse. order to
Separation and the lactation until sustain
To ensure that
of mother mother breastfeeding Inform the lactation until
there is enough
and infant is reinitiated. mother about breastfeeding
spacing between
scheduling the is started. She
breast pumping
• Achieve breast pumping will able to
sessions.
mutually every 3 hours perform
satisfactory during waking techniques on
feeding periods. how to sustain
regimen with To ensure the the newborn
infant content Educate the safety and quality with
after feedings mother on the of breast milk. breastmilk.
and gaining techniques to
weight effectively when
appropriately the mother is
. breastfeeding To promote
privacy and
• Achieve Provide privacy relaxation while
weaning and and a calm breast feeding
cessation of environment and reduce
lactation if when the mother anxiety levels.
desired or is breastfeeding.
necessary.
To promote the
Advice the mother’s health
mother to have and wellbeing
enough rest while on
periods and breastfeeding.
adequate
hydration and
nutritional intake.
RISK NCP
Reyzelin M. Endrenal
BSN-4A

MECONIUM ASPIRATION IN NEWBORN

References:

https://nursestudy.net/meconium-aspiration-nursing-care-plans/
https://www.studocu.com/ph/document/far-eastern-university/nursing/concept-
map-meconium-aspiration-syndrome/16928932
https://www.msdmanuals.com/professional/pediatrics/respiratory-problems-in-
neonates/meconium-aspiration-syndrome
http://nursing-dx.blogspot.com/2011/06/interrupted-breastfeeding.html