Scribd
Upload
94 views1 page

NCP 1 Ob

The nursing assessment identified a pregnant patient with no complaints who eats fruits and vegetables and sleeps 8-10 hours per night. Laboratory tests were normal. The nursing diagnosis identified a knowledge deficit about pregnancy and childbirth. Short term goals included educating the patient on vital signs and prenatal health. Long term goals were to encourage a balanced diet, exercise, rest and education on prenatal care, labor signs, coping and postpartum care. The plan included collaborating with a dietitian, monitoring weight gain and fetal growth through appointments and ultrasounds, and creating a supportive environment for the patient to discuss concerns.

Uploaded by

JOSHUA NERZA LACANDOZE
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
94 views1 page

NCP 1 Ob

The nursing assessment identified a pregnant patient with no complaints who eats fruits and vegetables and sleeps 8-10 hours per night. Laboratory tests were normal. The nursing diagnosis identified a knowledge deficit about pregnancy and childbirth. Short term goals included educating the patient on vital signs and prenatal health. Long term goals were to encourage a balanced diet, exercise, rest and education on prenatal care, labor signs, coping and postpartum care. The plan included collaborating with a dietitian, monitoring weight gain and fetal growth through appointments and ultrasounds, and creating a supportive environment for the patient to discuss concerns.

Uploaded by

JOSHUA NERZA LACANDOZE
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

College of Allied Health Sciences

School of Nursing
NURSING
ASSESSMENT NURSING DIAGNOSIS PLANNING RATIONALE EVALUATION
INTERVENTIONS
1. Work with a dietitian to
Subjective Data:  Knowledge deficit Short Term Goals: develop a suitable 1. Monitoring weight  Regularly assess the
about pregnancy meal plan that meets gain helps identify woman's weight gain
“wala naman akong and childbirth After a patient-nursing the woman's nutritional any potential issues and nutritional
nararamdaman na masama intervention, the normal needs during such as inadequate status.
sa pagbubuntis ko pregnant woman must know pregnancy. nutrition or  Monitor fetal growth
nakakatulog ako ng 8-10 her vital signs. Informed of 2. Use ultrasound and excessive weight and development
oras at nakakain din ako ng her pre-natal condition and fundal height gain. through prenatal
mga prutas at gulay, health documentation. measurements to 2. Regular prenatal visits and
madalang lang ang pagkain visits and
monitor the baby's ultrasounds.
ng karne” as verbalize by the
growth and position. ultrasounds helps  Evaluate the
patient.
3. Create a supportive identify any potential woman's emotional
Long-Term Goals: and non-judgmental issues. well-being and
Objective Data:
environment for the 3. Educating the ensure she has
1. Encourage a woman to express her woman about access to adequate
UERM OPD = Normal
balanced diet, feelings and concerns. prenatal care and support.
7 days PTC urinalysis =
Normal regular exercise, and 4. Offer classes or childbirth is vital to  Assess the woman's
Blood typing = Normal adequate rest to resources on ensure she makes understanding of
CBC = Normal support the woman's pregnancy, childbirth, informed decisions prenatal care and
well-being. and postpartum care. about her health and childbirth through
T: 36.5 2. Provide information her baby's health. discussions and
P: 90 on prenatal care, questions.
R: 19 signs of labor,
BP:100/70 coping techniques
during labor, and
postpartum care.

Name:________Lacandoze, Joshua N.____ Section: ____BSN 2-7__________________ Date: ______July 19, 2023_________________

You might also like