ASSESSMENT NURSING DIAGNOSIS RATIONALE GOALS AND INTERVENTION RATIONALE EVALUATION

OBJECTIVES
SUBJECTIVE CUES: Risk for infection The stump of the Goal:
• Mother: related to umbilical cord is an After one day of
inadequate primary excellent medium nursing
defenses (broken for bacterial intervention, the
skin specifically growth. Therefore, mother will be able
referring to without proper cord to give proper cord
exposed umbilical care, the child is care for the baby.
cord) susceptible to cord
infection. Objectives:
After one hour of
intervention, the
mother will learn
how to give proper
cord care by:

1. Giving the Diagnostic:

proper and 1. Note risk 1. Identifying the
hygienic factors for area of which
method of occurrence of serves as a
cleaning the infection. beneficial
remaining environment
umbilical cord. for bacterial
growth will
help the mother
recognize areas
that will need
thorough
cleaning.
2. Assess and 2. Assessing the
document skin skin conditions
conditions around the base
around the base of the
of the umbilical cord
umbilical cord. will enable the
mother
3. Note signs and
symptoms of
fever.

Therapeutic:
1. Stress proper
hand washing
techniques.
2. Proper
application of
betadine and
alcohol on the
tip of the cord.

Health Education:
1. Instruct client
how to protect
the integrity of
the skin and
prevent spread
of infection
around the base
of the
umbilical cord.