Unless contraindicated or unsafe, allow patientto participate in those practices. Defensive processes Risk for adverse reaction to iodinated contrast media Risk for allergy reaction Latex allergy reaction Risk for latex allergy reaction Class 6. The physiologic changes in the newborn are dis-cussed in Chapter 9. Repositioning the woman or adjusting the monitoring beltsmay provide relief. Health awareness Decreased diversional activity engagement Nursing Care Plan Readiness for enhanced health literacy Sedentary lifestyle Nursing care Plan Class 2. Imagery imagining a pleasant experience can help the woman by serv-ing as a distraction from the painful stimuli.
It helps the entire healthcare team evaluate their pain management strategy. Helps the client to recognize preterm labor so therapy can be instituted or reinstituted promptly. Provide oral and parenteral fluids, as indicated. The woman should take a cleansingbreath before each contraction to keep oxygen and carbondioxide levels in balance. Familiarize yourself with the sections of a Nursing Care Plan.
In this way, you will know what significant values affect the condition of the patient. Self-monitoring is usually adequate and has no cost; however, some healthcare providers may require electronic monitoring, which necessitates data be transmitted via telephone lines and interpreted by a nurse upon receipt. Normal labor Nursing Diagnosis 1: Powerlessness related to painful contractions and duration of labor Goal: Client will demonstrate that she feels some control over the labor process after 30 minutes. Magnesium sulfate acts directly on myometrial tissue to promote relaxation; therefore, there are fewer side effects than other drug choices. Knowing that fetal well-being iscontinuously being monitored relievesconcerns that prompt intervention will bedelayed if required.
As a result, stool is softer and easier to pass. Because sensation is al-tered, position changes should be initiated by the nurse topreserve skin integrity. This article has also been viewed 16,600 times. Vaginal examinations should be kept to a minimum. A Nursing Care Plan arranges a nurse's approach to patients in order to deliver their specific needs. The blood pressure elevates and can lead to the rupture of blood vessels.
Inform the progress of labor. This definition is different from where the individual experiences pain from 1 second to 6 months. Dosage and time of ad-ministration must be calculated to avoid having the babyborn with respiratory depression. This may take up to four to six weeks after delivery. Keep patient informed of progress made aftereach vaginal examination.
Reduces stressors that might contribute to anxiety; provides coping strategies. Self-care nursing in a multicultural context. Verbalizing feelings of frustration and angercan be an effective coping mechanism forsome patients. Demonstrate breathing and relaxation methods. It has a duration of less than 6 months.
It will help new and seasoned nurses go back to basics. Review daily fluid need; avoid coffee. Administer oxygen via face mask; Increases maternal oxygen available for fetal uptake. If fetus is not delivered within 7 days of administration of steroids, dose should be repeated weekly. The nursing interventions can be dependent or independent.
Short-term effects may include hypoglycemia, increased risk of sepsis, and possible suppression of aldosterone for 2 weeks following delivery. Beliefs Readiness for enhanced spiritual well-being Class 3. Information and knowledge of the reasons of these activities can decrease fear of the unknown. The United States is a multicultural society, and the nursemust understand the cultural traditions concerning expres-sion of pain to provide culturally sensitive care and support. Priority activities are performed to assess the condition ofthe mother and fetus and to determine when the birth is im-minent. Carry out perineal preparation, as appropriate. Breathing techniques change thefocus during the contraction.