Nursing Care Plan – Neonatal Pneumonia


Neonatal pneumonia is a pulmonary infection presenting with a clinical picture of respiratory distress, associated with chest radiological findings suggesting pneumonia and persisting for at least 48 hours. Infections may be transmitted via the placenta, by aspiration, or acquired postnatally. Neonatal pneumonia can be subdivided into 4 categories (with some overlap between them):

  1. Congenital pneumonia (transplacentally acquired), e.g. rubella, cytomegalovirus, toxoplasma, listeria, herpes simplex, Treponema pallidum.
  2. Intrauterine pneumonia (aspiration of infected amniotic fluid)
  3. Early-onset pneumonia (due to an ascending infection “vertically”)
  4. Late-onset pneumonia (due to organisms acquired nascomially (“horizontally”)  or in the community.

Early-onset pneumonia presents at birth or soon afterwards. Associated maternal risk factors are:

  • spontaneous onset of preterm labour
  • prolonged rupture of membranes (>18
  • maternal fever (> 37.5°C)
  • chorioamnionitis
  • offensive liquor

Microbes involved are group B betahaemolytic streptococcus (GBS), pneumococcus and coliforms.

Late-onset pneumonia occurs at least 48 hours after delivery and later. Presents more insidiously and may develop abdominal distension and feeding intolerance. Microbes involved are streptococci, staphylococci, E.coli, Klebsiella. Viral and chlamydial infections are also associated with pneumonia. Chlamydial pneumonia usually presents between 4 and 11 weeks of age (and earlier) with tachypnoea, apnoea, nasal congestion, paroxysmal and staccato cough and crepitations.

Source: Department of Paediatrics and Child Health, University of Stellenbosch

NCP – Neonatal Pneumonia

Byron Webb Romero, RN, MSN

Finished BSN at Lyceum of the Philippines University, and Master of Science in Nursing Major in Adult Health Nursing at the University of the East Ramon Magsaysay Memorial Medical Center. Currently working at Manila Doctors College of Nursing as a Team Leader for Level I and II, Lecturer for Professional Nursing Subjects, and also a Clinical Instructor.

What Do You Think?