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Assessment/Cues Nursing Diagnosis Plan of Care Interventions Implementations Evaluation

The document outlines a nursing care plan for a patient named Benita who is diagnosed with an upper respiratory infection and is in active labor. The plan includes maintaining airway patency, demonstrating behaviors to improve airway clearance like coughing effectively, monitoring vital signs and bleeding, positioning the patient on her left side, and monitoring contractions and fetal heart rate. After 8 hours of nursing interventions, the patient was able to successfully give birth without complications and understood the appropriate postpartum actions.

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Dominic Jose
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Download as DOCX, PDF, TXT or read online on Scribd
113 views

Assessment/Cues Nursing Diagnosis Plan of Care Interventions Implementations Evaluation

The document outlines a nursing care plan for a patient named Benita who is diagnosed with an upper respiratory infection and is in active labor. The plan includes maintaining airway patency, demonstrating behaviors to improve airway clearance like coughing effectively, monitoring vital signs and bleeding, positioning the patient on her left side, and monitoring contractions and fetal heart rate. After 8 hours of nursing interventions, the patient was able to successfully give birth without complications and understood the appropriate postpartum actions.

Uploaded by

Dominic Jose
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Assessment/Cues Nursing Diagnosis Plan of Care Interventions Implementations Evaluation

“I'm in labor. Tell me Benita is diagnosed  Maintain airway INDEPENDENT:  Provides After 8 hrs. of nursing
what I’m supposed to as having an upper patency with  Assess vital baseline on interventions on labor,
do." respiratory infection; breath sounds signs maternal blood the patient was able to
she is in active labor. clear/clearing.  Maintain bed loss. successfully give birth,
 Demonstrate rest or chair rest  Systematic rest without any
behaviors to when indicated. is mandatory complications, also
improve airway Provide and important understanding the
clearance, e.g., frequent rest throughout all appropriate actions to
cough periods and phases of be taken after child
effectively and uninterrupted disease and to birth.
expectorate night time reduce fatigue
secretions. sleep. and improve
 Monitor amount strength.
and type of  To promote
bleeding. placental
 Position mother prefusion.
on her left side.  Prevents tearing
 Monitor uterine of placenta
contractions previa is the
and fetal heart cause of
rate by external bleeding.
monitor.  Assess whether
 Maintain labor is present
positive attitude and fetal status
toward fetal and external
outcome. system avoids
cervical trauma.
 Supports mother
DEPENDENT: and child
 Doctor bonding
prescribing  Provide
medication to adequate fetal
the client. oxygenation
despite of
lowered
COLLABORATIVE: maternal
 Administer circulating
oxygen as volume.
indicated
NURSING CARE PLAN

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