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This Concept Map, created with IHMC CmapTools, has information related to: concept map, Baby Boy Initial Assessment (this was done by the delivery nurse) GI: Void: No Meconium: Yes Bowel sounds X4: Yes Abdominal: Soft: Yes 3 Vessel cord: Yes Anus patent: Yes, Check skin regular rationals check for breakdown of skin due to acid/bilirubin in the urine and or stool, Red blood cells are being broken down too fast for the liver to process Increases amount of bilirubin delivered to liver, Inadequate hepatic circulation result of hypoxia define An oxygen deficiency in body tissue, Pathophysiology: Conjugation Bilirubin Treatment Monitor stool for amt and color, Risk for Impaired Skin Integrity r/t urinary/stool excretions of bilirubin and exposure to phototherapy light intervention No baby lotion applied, encourage early feeding promote intestinal elimination, Check lab bilirubin PPD2: 11.9, Short term: Baby will have more than 1 stool on PPD 2 This will help excrete the bilirubin out of baby boy therefore decreasing the level in blood outcome STG: Baby had 1 pasty, meconium stool between the time 8 AM and 12 PM, Keep baby dry rationals Do not want to burn baby while under the phototherapy lights, Lethargy Inadequate Feeding Pattern, Increased bilirubin reabsorption from the intestinal tract due to decreased bowel motility Outcome Lethargy, Short term: Baby will have more than 1 stool on PPD 2 This will help excrete the bilirubin out of baby boy therefore decreasing the level in blood outcome LTG: No known breakdown was noted during the time 8 AM and 12 PM This was on Postpartum Day 2, Pathophysiology: Conjugation Bilirubin Treatment Phototherapy, Pathophysiology: Conjugation Bilirubin Treatment encourage early feeding, Risk for Impaired Skin Integrity r/t urinary/stool excretions of bilirubin and exposure to phototherapy light intervention Check skin regular, Pathophysiology: Conjugation Bilirubin Treatment Maintain temperature, An oxygen deficiency in body tissue Check lab Hgb PPD2: 12.4 L, My Initial Assessment Postpartum Day 2 TX Cord Clamp: Intact Eye Patches: On Phototherapy: On Infant Security: System in place, 2 Infant bands on for identification, Parents educated, An oxygen deficiency in body tissue Check lab Hgb PPD1: 11.0 L