CUES NURSING BACKGROUND PLANNING INTERVETIONS RATIONALE EVALUATION

DIAGNOSIS KNOWLEDGE
Objective:
Imbalanced Intrauterine
Height& Head Nutrition, less growth retardation After 5 days of 1. monitor vital  To obtain Goal met.
circumference than body (also known as nursing signs baseline data
requirements intrauterine intervention the After 5 days of
V/S taken as related to growth restriction) patient will nursing
follows: prematurity as (IUGR) is experience intervention the
PR= evidenced by generically progressive 2. Monitor intake > To assess if patient
RR= extremely low defined as a fetus weight gain as and output there’s an experienced
Temp= birth weight at who is at or below evidenced by: occurring fluid weight gain as
10th percentile at the tenth and electrolyte evidenced by:
birth percentile in Weight gain imbalance
weight for its
gestational age.
There are two 3. Provide diet > to reveal
factors necessary modifications, as possible causes
to define an IUGR indicated of changes that
fetus: first, the example could be made
fetal weight is at orogastric tube. in client’s intake
or below the tenth
percentile for
gestational age
and sex; second,
there is a
pathological
process present
that prevents
expression of
normal growth
potential. If the
baby is small
given its in utero
age, then it is said
to be small for
gestational age
(SGA).
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