NURSING CARE PLAN

ASSESSMENT EXPLANATION OF THE OBJECTIVE INTERVENTION

PROBLEM
Subjective Data: Reference: Short-Term Objective DX:
(STO):  Assess vital signs.
Objective Data: - After 1-2 hours of
nursing interventions,
Nursing Diagnosis: the patient will be  Assess the patient for
able to demonstrate edema, reports of feelin
behaviors that bloated, and benign,
decrease nausea and dependent leg edema.
vomiting.
 Assess the patient's
Long-Term Objectives abdomen every 2 hours
(LTO): including size, contour,
and bowel sounds, and
- After 1-2 days of note pain, tenderness, an
nursing interventions, guarding.
the patient will be
able to resume a
 Record intake and outpu
healthy diet, yielding
a positive weight
gain.
TX:
 Give the anti-emetic dru
as prescribed.

 Encourage nutrition in
small but frequent
portions.

 Advise to avoid fatty,

spicy foods.

 Maintain fluid therapy.

EDx:
 Teach the patient to use
prescription and
over-the-counter drugs
with caution, not
exceeding the
practitioner's orders.
 Inform the patient of
medication effects and
adverse effects on her
fetus and herself.