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20414828 Nursing Care Plan of the Mother

20414828 Nursing Care Plan of the Mother

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Published by draxellion

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Published by: draxellion on Mar 11, 2010
Copyright:Attribution Non-commercial


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Nursing care plan Of The Mother
Nursing Care Plan of the mother Prenatal Assessment Cues/Evidence SUBJECTIVE DATA: Patient verbalized that she easily wakes up whenever she hears noise. Furthermore, she reported frequent awakenings during the night to go bathroom due increased urge to urinate which happened around 5times.She also added that she findsit difficult to sleep sometimes because she felt slight pain on the area near her buttocks due to the pressure she feels on her chest which affects her breathing. She also said that she sleeps with a pillow Nursing Diagnosis Objective Intervention Rationale Evaluation Within our care, the client had improved sleeping pattern as evidenced by: Absence of dark circles under eyelids and frequent yawning as observed Decrease urinary frequency from 5 times each night to 3 times Report of rested and more relaxed OBJECTIVES FULLY METDisturbed sleep pattern r/t shortness of breath and urinary frequencyWithin our care, the client will improve sleep pattern as evidenced by: Absenceof dark circles under eyelids and frequent yawning, improved face expression1. Assess vital signs especially her blood pressure level 2. Encourage the mother to void before sleepingElevated blood pressure is usually observed in sleep disturbed client Voiding before bedtime may limit the sleep disturbance brought about by urinary frequency3. Provide a quiet A quiet environment conducive environment for sleeping promotes Verbalized continuation of understanding sleep without on the cause disturbances of sleep 4. Promote use of disturbance bedtime rituals such as drinking a glass of milk Promotes Report before sleeping, taking relaxation and increased a bath, reading a book readiness for
and a blanket. (We failed to inquire about her having nightmares or sleepwalking). She takes a nap when she feels like taking a nap but only for a short time. OBJECTIVE DATA: Sleepy eyed noted Dark circles under eyelid observed Frequent yawning noted Vital signs: T=37˚C RR=14 cpm BP= 138/74 mmHg PR= 72 bpm SUBJECTIVE DATA: Client verbalized that she feels sad about Disturbed Body mage related to change of appearancesense of well – being and 5. Teach client to feeling of elevate head by using rested more pillows during sleep or have her on Report an side – lying position increased number of hours of sleepsleepElevating the head promotes lung expansion, being in a side – lying position decrease the pressure on the chest wall and vena cava by the gravid uterusWithin our care, client shall accept1. Assess readiness to accept changes in body imageGive patient sense of control over situationWithin our care, client had accepted her body

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