Assessment Nursing Inference Goal/Plan Intervention Rationale Evaluation

Diagnosis

Subjective: Acute pain Stretching of After 30 Assess pain, >Provides >After 30

“Sobrang sakit na po.” related to the minutes of noting information to minutes
physical peritoneum nursing location, aid in of nursing
Objective: agents such overlying the interventions, intensity determining interventions,
 Facial grimace as laboring. uterus the (scale choice or the
 Uncomfortable ↓ patient’s pain of effectiveness patient’s pain
 Irritability will be 0 – 10), of was
 restlesness Stretching of relieved or duration. interventions. relieved and
 Vital Signs: cervix during controlled controlled.
BP= 130/80 dilatation >Promotes
Pain Scale: 9 ↓ Provide relaxation,
Stretching of comfort refocuses
the ligaments measure like attention, and
↓ back rub, may enhance
helping coping
Compression position of abilities.
of nerve comfort.
ganglia in the Suggest
cervix use of
↓ relaxation
technique and
There is deep
hypoxia of breathing
contracted exercises.
myometrium
↓
Labor pain