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Nursing Care Plan for Labor Pain

The patient is experiencing acute labor pain related to stretching of the peritoneum, cervix, and ligaments during dilation as well as compression of nerve ganglia and hypoxia of the contracted myometrium. The nursing diagnosis is acute pain related to physical agents of laboring. The goal is to relieve or control the patient's pain after 30 minutes of interventions like back rubbing and positioning for comfort as well as relaxation techniques. The rationale is to provide information to determine effective interventions and promote relaxation and coping abilities. After 30 minutes, the patient's pain was relieved and controlled.

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krianne09
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43K views2 pages

Nursing Care Plan for Labor Pain

The patient is experiencing acute labor pain related to stretching of the peritoneum, cervix, and ligaments during dilation as well as compression of nerve ganglia and hypoxia of the contracted myometrium. The nursing diagnosis is acute pain related to physical agents of laboring. The goal is to relieve or control the patient's pain after 30 minutes of interventions like back rubbing and positioning for comfort as well as relaxation techniques. The rationale is to provide information to determine effective interventions and promote relaxation and coping abilities. After 30 minutes, the patient's pain was relieved and controlled.

Uploaded by

krianne09
Copyright
© Attribution Non-Commercial (BY-NC)
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
  • Nursing Assessment 1
  • Nursing Assessment 2

Assessment Nursing Inference Goal/Plan Intervention Rationale Evaluation

Diagnosis

Subjective: Acute pain Stretching of the After 30 minutes Assess pain, >Provides >After 30
“Sobrang sakit na po.” related to peritoneum of nursing noting location, information to minutes
physical agents overlying the interventions, intensity (scale aid in of nursing
Objective: such as uterus the of determining interventions,
 Facial grimace laboring. ↓ patient’s pain 0 – 10), choice or the
 Uncomfortable will be duration. effectiveness of patient’s pain
 Irritability Stretching of relieved or interventions. was
 restlesness cervix during controlled relieved and
 Vital Signs: dilatation Provide comfort >Promotes controlled.
BP= 130/80 ↓ measure like relaxation,
Pain Scale: 9 Stretching of the back rub, refocuses
ligaments helping position attention, and
↓ of comfort. may enhance
Suggest coping abilities.
Compression of use of relaxation
nerve ganglia in technique and
the cervix deep breathing
↓ exercises.

There is hypoxia
of contracted
myometrium
↓
Labor pain
Assessment Nursing Inference Goal/Plan Intervention Rationale Evaluation
Diagnosis

Subjective: Hyperthermia Labouring


“Nanglalata ako at masakit r/t vigorous patient
din ulo ko, kanina pa ksi activity and ↓
ako umaga hindi dehydration. NPO for 12˚
kumakain, uhaw na uhaw ↓
na rin ako.” Dehydration

Objective:
 Restless
 Warmth to touch
 Flushed skin
 Vital Sign:
Temperature=
38.2˚C

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