INSTITUTE OF NURSING

Nursing Care Plan

And
Drug Study
ASUNCION, CHRISTIAN PAOLO C.

BSN302 - GROUP 1

PROF. FRANCIS OBMERGA RN, MAN

BIOGRAPHIC DATA
 Pastoral, Mary Grace Bernardo

 19 Years Old

 1494 Q. Labores Ext., Sampaloc, Manila

 Roman Catholic

 Filipino

 G2P2 Post Normal Spontaneous Delivery

 Admission Diagnosis: Pregnancy Uterine 40 4/7 Weeks AOG, Cephalic in Labor G2P1 (1001)

 Final Diagnosis: Same, Delivered Spontaneously Term, Cephalic, Live Birth

 Operation: Repair 2nd Degree Laceration

 INSTITUTE OF NURSING

Name of Patient: Pastoral, Mary Grace Bernardo

Nursing Scientific Goals and Nursing Evaluation/ Expected

Assessment Rationale
Diagnosis Explanation Objectives Intervention Outcome

Subjective: Effective A baby that After 8 hours  Assess  Establish After 8 hours of nursing
Breastfeeding breastfeeds of nursing mother’s baseline and intervention, the client
Objective: related to effectively cues intervention, knowledge and direction for was able to
 Mother basic (shows the client will previous teaching/planni demonstrate effective
able to breastfeeding readiness) for be able to experience ng. breastfeeding
position knowledge feedings, is in a demonstrate with techniques.
infant at good feeding effective breastfeeding
breast position, techniques for
properly latches-on breastfeeding.  Keep the  For
giving it a (attach) deeply infant with unrestricted
successful at the breast, mother. breastfeeding
latch-on and moves milk and duration
response forward from and frequency.
the breast and
into his/her  Encourage  Adequate
mouth. mother to drink hydration.
at least 2000
mL of fluid per
 day.

 Review  To help sustain

techniques for breastfeeding
expression and activity.
storage of
breast milk.

 Provide  Provide
information different
needed. methods for
accessing/reinf
orcing
information
and enhances
opportunity for
learning/under
standing.

Generic/Brand Classification Indication Dosage, Mode of Side Effects Contraindications Nursing

Name Frequency Action Responsibilities/Health
and Route Teachings
 Mefenamic NSAID  Relief 500 mg, Anti- Headache,  Contraindicate  Take only the
Acid (Nonsteroidal of every 6 inflammatory, Dizziness, d with prescribed dosage;
Anti- modera hours analgesic, and Fatigue, hypersensitivit do not take the
Inflammatory te pain antipyretic Renal y to mefenamic drug longer than 1
Drug) when activities Impairment acid, aspirin week.
therapy related to , Insomnia, allergy, and as  Discontinue drug
will not inhibition of Tiredness treatment of and consult your
exceed prostaglandin perioperative health care
1 week synthesis. pain with provider if rash,
coronary artery diarrhea, or
bypass digestive
grafting. problems occur.
 Use cautiously  Dizziness or
with asthma, drowsiness can
renal or hepatic occur.
impairment,
peptic ulcer
disease, GI
bleeding,
hypertension,
heart failure,
pregnancy,
lactation.

Generic/Bran Classificatio Indication Dosage, Mode of Side Effects Contraindications Nursing

d Name n Frequenc Action Responsibilities/Healt
y and h Teachings
 Route

Cefalexin Antibiotic Skin and skin 500 mg, Bactericidal  Headache  Contraindicated  Arrange for
structure every 8 : Inhibits  Dizziness with allergy to culture and
infections hours, synthesis of  Lethargy cephalosporins sensitivity tests of
caused by oral bacterial  Nausea or penicillins. infection before
staphylococcu cell wall,  Vomiting  Use cautiously and during
s, causing cell  Diarrhea with renal therapy if
streptococcus death. failure, lactation infection does not
 Anorexia
and pregnancy. resolve.
 Abdomina
l pain  Give drug with
meals.
 flatulence
 Complete the full
course of this
drug even you
feel better.

Generic/Bran Classificatio Indication Dosage, Mode of Action Side Effects Contraindications Nursing
d Name n Frequenc Responsibilities/Healt
y and h Teachings
Route

Ferrous Iron  Dietary OD (once Elevates the May  Contraindicate  Warn that the
Sulfate preparation suppleme daily), serum iron experience d with allergy stool may be dark
nt for Oral concentration, GI upset, to any or green.
iron. and is then vomiting; ingredient;
 Preventio converted to High diarrhea or sulfite allergy;
n and or trapped in the constipation hemochromato
treatment reticuloendothelia . sis,
of iron l cells for storage hemosiderosis,
deficiency and eventual hemolytic
anemia. conversion to a anemias.
usable form of  Use cautiously
iron. with normal
iron balance.