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Subjective: Independent:: Assesment Diagnosis Planning Intervention Rationale Evaluation

The nursing care plan involves assessing a patient experiencing abdominal pain and monitoring signs of preterm labor. Interventions include encouraging bed rest in a side-lying position to relieve pressure on the cervix, applying external uterine and fetal monitoring to assess maternal and fetal well-being, and closely monitoring vital signs every 15 minutes. After 8 hours of these nursing interventions, the patient will be educated on ways to improve activity intolerance, such as reporting difficulty breathing or chest pain. The goal is for the patient to rest and receive early intervention if needed to prevent complications.

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Agnes Bernaga
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43 views1 page

Subjective: Independent:: Assesment Diagnosis Planning Intervention Rationale Evaluation

The nursing care plan involves assessing a patient experiencing abdominal pain and monitoring signs of preterm labor. Interventions include encouraging bed rest in a side-lying position to relieve pressure on the cervix, applying external uterine and fetal monitoring to assess maternal and fetal well-being, and closely monitoring vital signs every 15 minutes. After 8 hours of these nursing interventions, the patient will be educated on ways to improve activity intolerance, such as reporting difficulty breathing or chest pain. The goal is for the patient to rest and receive early intervention if needed to prevent complications.

Uploaded by

Agnes Bernaga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALU

Subjective: Activity After 8 hours of Independent: -Assessment After 8


“Bigla nalang intolerance nursing provides a nursing
humilab ‘yung related to muscle interventions, the - Assess status of baseline date for interven
tiyan ko, feeling or cellular patient will apply the client and future patient
ko ay hypeSrsensitvity identified ways fetus comparisons. to
manganganak na to improve indicate
ako” As activity -Encourage bed -Bed rest relieves approac
verbalized by the intolerance . rest with patient pressure of the improv
patient in side lying fetus on the intolera
position(lateral cervix. "Uterine
Objective: position) and fetal
-Facial grimace monitoring
-Irritability -Apply external provides
-Dysuria uterine and fetal evidence of
-V/S taken as monitoring. maternal and
follows: fetal well being
- Monitor
T: 36.8 patient’s vital -Maternal pulse
P:82 signs closely, over 120 beats
R:18 every 15 minutes per minute or
BP:100/80 persistent
-Instruct patient tachycardia or
to report feelings tachypnea chest
of difficulty of pain, dyspocoa
breathing or and adventitious
chest pain. breath sounds
may indicate
impending
pulmonary
edema

-Early of possible
adverse effects
allows for
prompt
intervention.
DAY 2: COLLABORATIVE 3 Nursing Care Plan about Fetal Gestation Oxygenation
Throughout Pregnancy

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