PATIENT’S DATAOPERATIONS PERFORMED: Medications:
Question Answered step-by-step PATIENT’S DATAOPERATIONS PERFORMED: Medications:: Gravida 2 Para 2(2002) Term, Cephalic Delivered; Spontaneous rupture of membranes thickly meuniuum stained amniotic fluid; Term Birth Living Baby boy.Normal spontaneous delivery right mediolateral episiotomy and repair continuous epidural anesthesia. Cefuruxine, Metronidazole, Ibuprofen, Hospitalization none No commormidities 1st trimester cough cold 2nd tri wala 3rd tri UTI at 34 weeks Antibiotic treatment for seven days Daily multivitamins Milk for pregnancy Amino acid Calcium acid And iron supplement Delivered normal/ normal deliver Cough and cold depends on seasn[cold season] Not like salty and fatty foods No allergies, Vaccine: yearly flue vaccine No accidents No change of appetite No chewing problemsss Not regular defecation Normal stool No discomfort No bleeding No diarrhea, 6 time day urination. Normal color with urine No kidney problem, perspiration, Smell differ from what she eats. Activity exercise No breathing problems No cough Does Walking Have sufficient energy to does all things but lack time Leisure: watch Netflix/ entertainment No difficulty in sleeping No rituals No insomnia No table for sleep diary Cognitive No dizziness, getting headache for child care. No trouble in forgetting things Visual learner No vision problem No hearing loss No change in memory.Self perception Postive person, likes to be with person who are positive thinker. Madalas feel good when she sees her child. High self steem No problem with moods bc husband is supportive. Gets angry when lacking budget No changes Previously shy, now strong. Just watching tvRole and relations Tight budget family problem can lead to stress brother depends on him Good relationship with the family. Small family. Closed friends and approach her when she’s lonely No circle of friends Sexually active si patient Does not use contraceptive. No menstrual problem Coping stress Childbirth difficult with firstborn Tight budget irritable and stress Watching tv to manage stress. Family is important for her Values good family, wants to go back to work. Attends mass but not regularly, Family gives her strength and hope, Wants her children to be respectful and helpful. MAKE A NCP. Image transcription textIX. NURSING CARE PLAN Cues Nursing Analysis Goal Intervention Rationale Evaluation Diagnosis (withreferences) (Based on Nag prob) Subjective a. Brief Objective a. Independent (With Narrative NANDAexplanation in (W/ EBN) reference) Based on Objective narrative form (Based on (Supplemental) … Show more… Show more Health Science Science Nursing Share QuestionEmailCopy link Comments (0)


