NURSING CARE PLAN

Name of Patient: S.R Impression/Diagnosis: Abdominal Pain

Age & Sex: 41/F Ward/Bed: Maternity Ward

DEFINING NURSING OUTCOME NURSING RATIONALE EVALUATION

CHARACTERISTICS DIAGNOSIS IDENTIFICATION/OBJECTIVE INTERVENTION
To be aware of The maternal
SUBJECTIVE: Increasing pain LONG TERM: INDEPENDENT: any aberrant patient took part
Increasing abdominal related to effects After 48 hours the patient's Monitor vital signsQ responses that in the procedure
pain. of labor discomfort will be relieved, and shift MIO Q shift may occur in to enhance the
they will be able to manage Monitor progress of both the mother labor so that the
suffering in the future. labor and the child baby may be
Monitor FHT Q2H delivered
successfully.

OBJECTIVE:
Initial vital signs
taken: RATIONALE:
T= 36.8 °C It's a vital to To ease the
PR= 76 bpm keep an eye on SHORT TERM: patient from the After 24 hours of
RR= 18 cpm, BP the mother and During the first 24 hours of DEPENDENT: pain nursing care, the
Weight= 50 kg child to nursing care the patient's Labs:CBC, RU, FE, patient's
Blood type “O” guarantee their discomfort should be minimized VDRL, Hepatitis Identify the discomfort was
safety as much as possible. areas of concern relieved.
that it might
interfere with
the normal
progress of
labor
COLLABORATIVE:
NOTE: Nursing The physician should
Diagnosis be informed on the
should be based patient's progress and
on the (NANDA any abnormalities
– Approved that may be
Nursing observed.
Diagnosis)