Nursing Diagnosis Inference Plan of Care Nursing Rationale Evaluation

Intervention

Deficient knowledge Deficient After 4 hours of Render physical Ensuring physical After 4 hours of
related to unfamiliarity knowledge is a nursing comfort for the comfort allows the nursing interventions,
with information state in which interventions, the patient patient to the patient will be
resources as manifested cognitive patient will be able concentrate on able to verbalize
by: information or to verbalize what is being understanding of
psychomotor skills understanding of discussed or condition and
Subjective: required for health condition and demonstrated. treatment as
“Hindi ko alam kung recovery, treatment. evidenced by:
bakit konti ang maintenance, or Provide an Conveying respect
panubigan ko at ano health promotion atmosphere of is especially  Patient
ibig sabihin nung are lacking. respect, openness, important when participated in
oligohydramnios basta trust, and providing learning
yun ang sabi sa akin ng collaboration. education to process.
doctor.” as verbalized patients with
by the patient. different values  “Ah. Ngayon
and beliefs about alam ko n ibig
Objective: health and illness. sabihin. Buti
 Verbalizing nalang
inaccurate Provide health Providing health nagpapacheck-
information education to the education will up ako.” as
 Inappropriate patient particularly effectively give verbalized by
behavior to the conditions knowledge to the the patient.
(apathetic) that she may not patient.
know understand.

Provide clear, Patients are better

thorough, and able to ask
understandable questions when
explanations. they have basic
 information about
what to expect.
Focus teaching
sessions on a single Clearly focuses
concept or idea. teaching allows the
learner to
concentrate more
completely on
material being
discussed.
Help patient in
integrating This technique aids
information into the learner make
daily life. adjustments in
daily life that will
result in the desired
change in behavior.
Note progress of
teaching and Documentation
learning. allows additional
teaching to be
based on what the
learner has
completed.
 Nursing Inference Plan of Care Intervention Rationale Evaluation
Diagnosis

Risk of injury: Oligohydramnios After 2 hours of nursing  Monitor  Notes progress After 2 hours of
fetus related to is a condition intervention, the patient will maternal and and changes of nursing
reduction of where the able to increase knowledge fetal status condition. intervention, the
amniotic fluid amniotic fluid is about the complications in closely, patient’s understand
as manifested less than normal, fetal if reduction of including vital about the
by: which is less amniotic fluid is suspected. signs and fetal complications in
than 500cc. heart rate fetal if reduction of
patterns amniotic fluid is
suspected.
 Monitor
maternal weight
 To optimize
gain pattern
outcomes for the
woman and the
infant.
 Provide
emotional  To reduce stress
support before, and anxiety that
during and after may affect the
ultrasonography baby

 Inform the  The need for

patient about more
coping information to
measures if gain control
 fetal anomalies over the
suspected situation

 Instruct her
about signs and
symptoms of  For the early
labor, including detection and
those she’ll recognition of
need to report danger signs and
immediately complications
and help them to
think about

 Ensure that
amnioinfusion
solution is  Rapid
warmed to body amnioinfusion
temperature of a cold
solution could
cause fetal
bradycardia