Newborn with congenital anomaly: a focus on nursing diagnosis

Objective: to identify newborns with congenital anomalies in Neonatal Internment Unit and to describe the main nursing diagnoses, based on the NANDA International 2009-11. Method: descriptive cross-sectional quantitative study carried out in a neonatal unit of a public hospital in Fortaleza-CE, Brazil. The population was consisted of malformed newborns hospitalized in a neonatal unit from April to June 2009, with a sample of 30 newborns. Data collection was made through medical chart and physical assessment, recorded in own form. The data were analyzed by simply and absolute frequency. The research was approved by Research Ethics Committee of the institution under protocol number 295/2009, CAAE no 0011.0.041.000-09. Results: the results showed that gender male, gestational age between 24-37 weeks, birth weight from 1500 to 2499g were more predominant and most of newborns were accommodated in an incubator under oxygen therapy by oxy-hood. Most present malformations: related to the Central Nervous System and Musculoskeletal System. Prevalent nursing diagnoses were: ineffective standard of baby feeding and risk of injury to the bond between parent / children, the domain security/protection was highlighted. Conclusion: it was noted the importance of an accurate diagnosis, facing the commitment to design the action plan, considering the particularities of the malformed newborn, guiding individualized assistance, in order to promote its health. Descriptors: congenital abnormalities; nursing diagnoses; infant, newborn.