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Student: Jennifer Troutman

Date of Care: February 8th, 2017


YOUNGSTOWN STATE UNIVERSITY
Department of Nursing
Bachelor of Science in Nursing Program
N3731: Childbearing Family and Women’s Health Nursing

MATERNAL NURSING CARE PLAN

Goal: Woman will void within 3 to 4 hours after birth and empty bladder without difficulty.

Nursing Diagnoses Behavioral Outcome Objectives Nursing Interventions Documented Rationales (Cite) Evaluation, Modifications
Patient will… Nurse will…
Risk for Altered 1. Allow nurse to assess her 1. Assess position and 1. To ascertain if any further Patient allowed nurse to
Patterns of Urinary 2. Notify nurse when she has to character of uterine interventions are indicated assess her bladder and
Elimination related to urinate and tell her how much fundus and bladder because of displacement of fundus. Patient drank 800mL
perineal trauma and she drank during her shift 2. Measure intake and fundus or distention of of fluid during the shift.
effects of anesthesia 3. Walk to the bathroom and try output bladder (Lowdermilk pg Patient voided 600mL
to urinate 3. Encourage voiding by 485) throughout shift.
4. Drink fluids whenever she can assisting woman to 2. To assess adequate of fluid
5. Allow nurse to catheterize as bathroom, running intake and urine output; a
necessary. water over perineum, full or distended bladder
running water in sink, increases the risk of uterine
and providing privacy atony (Lowdermilk pg 485)
4. Encourage oral fluid 3. To encourage voiding
intake (Lowdermilk pg 485)
5. Catheterize as 4. To replace any fluids lost
necessary with during child birth and
indwelling or straight prevent dehydration
method 5. To ensure bladder
emptying and prevent
uterine atony.
(Lowdermilk pg 485)
Student: Jennifer Troutman
Date of Care: February 8th, 2017
YOUNGSTOWN STATE UNIVERSITY
Department of Nursing
Bachelor of Science in Nursing Program
N3731: Childbearing Family and Women’s Health Nursing

NEWBORN NURSING CARE PLAN

Goal: Neonate will demonstrate coordinate sucking and swallowing to accomplish effective feeding pattern by the end of the shift.

Nursing Diagnoses Behavioral Outcome Objectives Nursing Interventions Documented Rationales (Cite) Evaluation, Modifications
Patient will… Nurse will…
Risk for Ineffective 1. Allow nurse to assess factors 1. Assess for factors that 1. To provide basis for plan of Patient allowed nurse to
Feeding Pattern related that can contribute to can contribute to care (Lowdermilk pg 612) assess factors that can
to inability to ineffective sucking and ineffective sucking and 2. To enhance effective contribute to ineffective
coordinate sucking and swallowing swallowing feeding (Lowdermilk pg sucking and swallowing,
swallowing 2. Describe what feeding 2. Teach mother to 612) described what feeding
readiness cues are observe feeding- 3. To maintain hydration readiness cues are, described
3. Describe what other feeding readiness cues status and nutritional what other feeding patterns
patterns are available 3. Modify feeding requirements (Lowdermilk are available, and fed the
4. Feed neonate in a calm, patterns as needed pg 612) neonate in a calm, relaxed
relaxed environment 4. Promote calm, relaxed 4. To provide pleasant environment.
atmosphere feeding experience for
mother and neonate.
(Lowdermilk pg 612)

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