Question

CARE PLANS CASE STUDY Mary Ann a primigravida is in her fifth month of her pregnancy, which has progressed without complications. During her prenatal visit today, she tells you that she has some questions about her activity, work and hygiene. Indicate your nursing Diagnosis, assessment, planning goals and implementation and evaluation for this patient. Mary Ann is now in her eighth month of her pregnancy, which has progressed without complications. She states that she looks forward to the birth of her baby, and asks how to prepare for the labor and delivery. Indicate yo ur nursing diagnosis, assessment, planning and goals, implementation and evaluation.

Answer 1

1) activity :

In above question ,pregnant women with 5 months ,so she can do her routine work as usual .

It is very essential to take adequate rest and sleep

Women can do simple excercises such as deep breathing excercises ,simple walking and swimming

She should do excercises atleast 3 days in a week .

Work :

Mother can go for job up to her 9 th month or even for before delivery . Job can give her satisfaction .

Avoid risky jobs such as prolonged standing such as OT nurse .

She can do mild to moderate works .

Avoid heavy weight lifting .

Avoid strenous excercises .

Hygiene :

Hygiene is very much important ,she should take bath ,comb hair ,personal hygiene and dental hygiene and genital hygiene very much important .

She should follow safe sexual practices if she desired .

Hand washing plays important role , breast care ,bladder care important .

Nursing diagnosis :

Risk for anemia related to increased demand for foetal growth .

Assessment :

Subjective data : complaining about fatigue ,giddiness

Objective data :

On observation of paleness of tongue ,lips ,conjunctiva .

Goal : to prevent anemia.

Planning :

• Assess the base line data of mother
• Instruct the mother for taking of IFA Tablets .
• Encourage her take iron rich diet .
• Instruct the mother for better dietary habits .
• Check for Hb percentage .

Educate for albendazole Tablets in parasitic infestation.

Implimentation :

Assessed the base line data of mother

Instructed the mother to take IFA Tablets.

Encouraged her to take iron rich diet .

Checked the HB percentage .

Encouraged for better dietary habits .

Encouraged for routine screening for parasitic infestation.

Evaluation :after implimentation above measures mother HB percentage increased .

2) in eighth month

Nursing diagnosis : anxiety related to labor and birthing process .

Nursing interventions :

• Orient the mother and significant others to labor and birth unit and explain admission protocol to allay initial feelings of anxiety.
• Assess women knowledge ,experience and expectation of labor
• Discuss expected progression of labor.
• Encourage her to express her doubts about labor and birthing process .
• Clear her doubts thoroughly without negligence
• Provide psychological support .

3) care plan : for babor and post partum period.

1) nursing diagnosis :

Acute pain related to increasing frequency and intensity of contractions .

Nursing interventions :

• Assess the women level of pain and strategies that she has used to cope with pain to establish a baseline for intervention.
• Encourage her to position changing as she feel comfort .
• Instruct her to Use specific techniques such as conscious relaxation ,focus on breathing ,effleurage ,massage.
• Explain about analgesics or anesthetics are available in labor process .

2) nursing diagnosis : risk for infection related to episiotomy and tissue trauma.

Nursing intervention :

• Assess episiotomy site .assess for the pain in perineal region .
• Encourage mother to frequent washing of perineal area.
• Encourage her to frequent changing of pad .
• Provide perineal care .
• Educate about signs of infection and precausions in order to prevent infection .