NAME: PLETA, JANE C.

COURSE AND YEAR: BSM2

DATE: MARCH 12, 2022

ACTIVITY NO. 1
A 3-years old boy from Bagtang, Daraga was admitted to Ago General Hospital at 8:30pm due to it vomits
everything it intake and unable to drink, other than that, it is observed that the boy has sunken eyes and as the
midwife pinch the skin of the boy, it bounces back very slowly (more than 2 seconds), the boy is also sleepy and
unconscious in his environment. At 8:45 pm, an IVF was administered with and brought to the pediatric ward. As
the assigned midwife, what will be your midwifery diagnosis regarding the condition of the boy? Create a
midwifery care plan and progress notes. (Data-Action-Response).

Diagnosis: Severe Dehydration

MIDWIFE CARE PLAN

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
OBJECTIVE DATA:  Severe  After the  Give IV Fluid  IV Fluid is  The child
 Vomits Dehydration Midwife for needed to regains his
everything intervention, dehydration replace fluid normal
it intake the child is to promote lost from the hydration
and unable expected to fluid balance body status
to drink return back as ordered. especially
 Sunken to his  Monitor that the child
eyes normal hydration vomits
 Skin pinch hydration status and everything
goes back status and weight daily. and was
very slowly will not  Monitor vital unable to
 Sleepy and develop any signs as well drink.
unconscious further as the intake  Monitoring of
complication and output. hydration
 Check if the status, vital
child has signs, skin
diarrhea appearance,
 Monitor skin intake and
appearance. output can
 If the mother facilitate for
was immediate
breastfeeding intervention
the child, and
when he effectiveness
stops of the care
vomiting and plan.
was able to  Breastfeeding
take and can help to
drink fluid, increase the
advised the fluid balance
mother to
continue
breastfeeding
and increase
electrolytes

PROGRESS NOTES
 Time Focus Data Action Response
8:45 Promotion of  Vomits everything  Give IV  After the
fluid balance  With sunken eyes Fluid as intervention,
 Lethargic/unconscious ordered by the child
 Severely dehydrated the slowly
physician returns back
 Monitoring to his
of vital normal
signs hydration
 Monitoring status.
of intake
and output
 Monitoring
of fluid
balance
and
hydration
status