1- Maternal NCP
Assessment Data | Nursing Diagnosis(According to NANDA) | Nursing ActionsList in order of priorityInclude at least 5 actions. | RationaleState the rationale for each nursing action, Cite reference and page number | EvaluationAfter providing nursing care, evaluate each nursing action. |
Note: Include subjective and objective data that will support the nursing diagnosis. | Risk for deficient fluid volume r/t active losses during childbirth (or Risk for bleeding r/t uterine atony)Measurable Goals with deadlines:Short term goal (STG):Long-term goal (LTG):Evaluate goal above:STG:LTG:In progress, see STG evaluation for achievement thus far. | 1. Assess______at least every _____ hrs | 1. | 1. |
2. Assess _____ | 2. | 2. | ||
3. | 3. | 3. | ||
4. | 4. | 4. | ||
5. | 5. | 5. | ||
2 – Neonatal NCP
Assessment Data | Nursing Diagnosis(According to NANDA) | Nursing ActionsList in order of priorityInclude at least 5 actions. | RationaleState the rationale for each nursing action, Cite reference and page number | EvaluationAfter providing nursing care, evaluate each nursing action. |
Note: Include subjective and objective data that will support the nursing diagnosis. | Risk for Ineffective Thermoregulation r/t immature regulatory mechanismsMeasurable Goals with deadlines:Short term goal (STG):Long-term goal (LTG):Evaluate goal above:STG:LTG:In progress, see STG evaluation for achievement thus far. | 1. Assess______at least every _____ hrs | 1. | 1. |
2. Assess _____ | 2. | 2. | ||
3. | 3. | 3. | ||
4. | 4. | 4. | ||
5. | 5. | 5. | ||
Textbooks to be used:1. Pearson Education Inc. (2015). Nursing: A concept-based approach to learning (rev. 2nd ed.) Volumes II.2. Adams and Urban, Pharmacology: Connections to Nursing Practice2NURS-242, Clinical Assignment FA2018