00112 Risk for delayed development

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00112 Risk for delayed development

Definition of the NANDA label

Risk of experiencing a delay of 25% or more in one or more of the areas of social or self-regulatory behavior, cognitive, language, or gross or fine motor skills.

Susceptible to delay of 25% or more in one or more of the areas of social or self-regulatory behavior, or in cognitive, language, gross, or fine motor skills, which may compromise health.

Risk factors

Prenatal

• Substance abuse.
• Inadequate nutrition.
• Maternal age <15 or> 35 years.
• Infections.
• Genetic or endocrine disorders.
• Unplanned or unwanted pregnancy.
• Lack of prenatal care or the care received has been late or of poor quality.
• Illiteracy.
• Poverty.

Individual

• Impaired vision.
• Hearing impairment or frequent otitis media.
• Inability to develop, inadequate nutrition.
• Behavioral disorders.
• Substance abuse.
• Prematurity.
• Convulsive crisis.
• Genetic or congenital disorders.
• Prositive drug screening test.
• Brain injury (eg, bleeding in the postnatal period, a child who has been severely shaken, abused, or in an accident).
• Foster or adopted child.
• Chronic disease.
• Dependence on technology.
• Lead poisoning.
• Chemotherapy.
• Radiation therapy.
• Natural disaster.

Environmental

• Poverty.
• Violence.

From the caregiver

• Bad treatments.
• Mental illness.
• Mental retardation or severe disability for learning.

At risk population

• Behavioral disorder – Economically disadvantaged – Exposure to natural disaster – Exposure to violence – History of adoption – Inadequate maternal nutrition – Insufficient prenatal care – Involvement with the foster care system – Late-term prenatal care
• Maternal age ≤ 15 years – Maternal age ≥ 35 years – Maternal functional illiteracy – Maternal substance misuse – Positive drug screen – Prematurity
• Unplanned pregnancy – Unwanted pregnancy

Associated condition

• Brain injury
• Caregiver learning disability – Caregiver mental health issue – Chronic illness
• Congenital disorder – Endocrine disorder
• Failure to thrive
• Genetic disorder
• Hearing impairment
• Impaired vision
• Lead poisoning
• Prenatal infection
• Recurrent otitis media – Seizure disorder
• Treatment regimen

NOC

• Increase.
• Child development (specify).
• Social interaction skills.

NIC

• Analysis of the health situation.
• Promotion of development (specify).
• Baby care.
• Parental education.
• Risk identification (specify).
• Environmental management.
• Behavior modification: social skills.

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