Assessment Orientation phase Nursing diagnosis. Planning Identification phase Implementation Exploitation phase Evaluation Resolution. Skull Vector Art Download. NANDA Nursing Diagnosis. This article contains the latest update of nanda nursing diagnosis list 2015 2017. Human Teeth 3D Model Free Download. Download NANDA Nursing Diagnosis list below. Tetanus Nursing Care Plan and Tetanus Nursing Diagnosis Symptoms of tetanus occur when the bacterium Clostridium tetani infects the body. As we know that the. Labor Stages, Induced and Augmented Labor Nursing Care Plans Nurseslabs. Labor is defined as a series of rhythmic, involuntary, progressive uterine contraction that causes effacement and dilation of the uterine cervix. The process of labor and birth is divided into three stage. The first stage of labor is the longest and involves three phases namely latent, active, and transition. The latent phase begins with the onset of regular uterine contractions until cervical dilatation. The active phase occurs when cervical dilatation is at 4 to 7 cm and contractions last from 4. The second stage of labor starts when cervical dilatation reaches 1. Lastly, the third stage or the placental stage begins right after the birth of the baby and ends with the delivery of the placenta. There are instances where labor doesnt start on its own so when the risks of waiting for labor to start are higher than the risks of having a procedure to get labor going, inducing labor may be necessary to keep the woman and baby healthy. This may be the case when certain situations such as premature rupture of the membranes, overdue pregnancy, hypertension, preeclampsia, heart disease, gestational diabetes, or bleeding during pregnancy are present. Nursing Care Plans. The nursing care plan for a woman in labor includes providing information regarding labor and birth, providing comfort and pain relief measures, monitoring mothers vital signs and fetal heart rate, facilitating postpartum care, and preventing complications after birth. Free CSS has 2644 free website templates, all templates are free CSS templates, open source templates or creative commons templates. NCP in different areas such as medical surgical, psychiatric, maternal newborn, and pediatrics. Diversional Activity Deficit Nursing Interventions' title='Diversional Activity Deficit Nursing Interventions' />Nursing Interventions Rationale Independent Hemodynamic regulation Monitor bp. Measure in both armsthighs three times, 35 min apart while patient is at rest. Musculoskeletal Stressors NUR240 JBorrero 1008 Circulation check for warmth of toes or fingers Check color of nailbeds Compare pulse rates and quality of. Pancreatitis is a painful inflammatory condition in which the pancreatic enzymes are prematurely activated resulting in autodigestion of the pancreas. A Nurse Practice Act serves to protect the public by setting minimum qualifications for nursing in relation to skills and competencies. One way it fulfills. Gastritis Nursing Care Plan, Nursing Care Plan for Gastritis,Nursing Diagnosis for Gastritis,Nursing Interventions for Gastritis Definition of Gastritis Gastritis. Here are 3. 6 nursing care plans NCP for the different stages of labor including care plans for labor induction and labor augmentation Back. Labor Stage IA Latent Phase. Labor Stage IB Active Phase. Labor Stage IC Transition Phase. Labor Stage II Expulsion. Labor Stage III Placental Expulsion. Labor Induced Augmented. B9780323086783000502_t9000.png' alt='Diversional Activity Deficit Nursing Interventions' title='Diversional Activity Deficit Nursing Interventions' />Next. The latent phase of labor starts during the onset of true labor contractions until cervical dilatation. Included nursing care plans and diagnoses in this phase include Deficient Knowledge. Risk for Fluid Volume Deficit. Diversional Activity Deficit Nursing Interventions' title='Diversional Activity Deficit Nursing Interventions' />Risk For Fetal Injury. Risk For Maternal Infection. Risk For Ineffective Coping. Risk For Anxiety. Diversional Activity Deficit Nursing Interventions' title='Diversional Activity Deficit Nursing Interventions' />Deficient Knowledge Absence or deficiency of cognitive information related to specific topic. May be related to. Information misinterpretation. Lack of exposurerecall. Possibly evidenced by. Inaccurate follow through of instruction. Questions. Statements of misconception. Desired Outcomes. Client will verbalize understanding of psychological and physiological changes. Client will participate in decision making process. Client will demonstrate appropriate breathing and relaxation techniques. Nursing Interventions. Rationale. Assess clients baseline knowledge and expectations during pregnancy. This will guide in establishing learning needs and set priorities. Provide and discuss options for care during the labor process. Provide information about birthing alternatives, if available and appropriate. Active participation of the clientcouple is important in the decision making process. Provide information about procedures especially fetal monitor and telemetry and normal progression of labor. Prenatal education can facilitate the labor and delivery process, assist the client in maintaining control during labor, help promote a positive attitude, and may decrease reliance on medication. Review appropriate activity levels and safety precautions, whether client remains in hospital or returns home. Provides guidelines for client to make appropriate informed choices allows client to engage in safe diversional activities to refocus attention. Review roles of staff members. Identifies resources for specific needs situations. Obtain informed consent for procedures, e. Explain the procedures and the possible risks associated with labor and delivery. When procedures involve clients body, it is necessary for client to have appropriate information to make informed choices. Cambiare Lingua Adobe. Educate the client about breathing and relaxation techniques appropriate to each phase of labor teach and review pushing positions for stage II. Unprepared couples need to learn coping mechanisms on admission to help reduce stress and anxiety. Couples with prior preparation can benefit from review and reinforcement. Risk for Fluid Volume Deficit At risk for experiencing vascular, cellular, or intracellular dehydration. May be related to. Decreased intake, increased losses e. Possibly evidenced by. Desired Outcomes. Client will maintain fluid intake as able. Client will demonstrate adequate hydration e. FHR. Nursing Interventions. Rationale. Assess production of mucus, amount of tearing within eyes, and skin turgor. To provide information on the hydration status of the client. Monitor intake output. Note urine specific gravity. Encourage client to empty bladder at least once every 1 122 hr. Intake and output should be approximately equal, dependent on degree of hydration. Concentration of urine increases as urine output decreases and may warn of dehydration. Fetal descent may be impaired if bladder is distended. Determine cultural practices regarding intake. Some cultures like Mexican women practice of drinking milk to make the babies larger, and drinking chamomile tea to have a healthy labor. Monitor vital signsFHR as indicated. Increases in temperature, BP, pulse, respirations, and FHR may indicate presence of dehydration. Monitor Hematocrit level. Hematocrit increases as the plasma component decreases in the presence of severe dehydration. Provide mouth care and hard candy, as appropriate. Reduces discomfort of a dry mouth. Provide clear fluids e. O, popsicles and ice chips, as permitted. Helps promote hydration and may provide some calories for energy production. Administer bolus of parenteral fluids, as indicated. May be needed if oral intake is inadequate or restricted. In the event of dehydration or hemorrhage, fluid resuscitation is necessary counteracts some negative effects of anesthesiaanalgesia. Risk For Fetal Injury. Risk for Injury Vulnerable for injury as a result of environmental conditions interacting with the individuals adaptive and defensive resources, which may compromise health. May be related to. Hypercapnia. Infection. Tissue hypoxia. Possibly evidenced by. Desired Outcomes. Fetus will display FHR and beat to beat variability within normal limits, with no ominous periodic changes in response to uterine contractions. Nursing Interventions. Rationale. Note progress of labor. Prolonged or dysfunctional labor with an extended latent phase can contribute to problems of infection, maternal exhaustion, severe stress, and hemorrhage caused by uterine atonyrupture, putting the fetus at greater risk for hypoxia and injury. Monitor baseline FHR manually andor electronically. Evaluate frequently per protocol. Note FHR variability and periodic changes in response to uterine contractions. Normal range for fetal heart rate is between 1. Monitor FHR during rupture of membranes, reassess per protocol, obtain 3. EFM strip for record. Evaluate periodic changes in FHR. Changes in amniotic fluid pressure with rupture, andor variable decelerations of FHR after rupture, may indicate umbilical cord compression, which decreases oxygen transfer to the fetus. Monitor FHR and periodic changes if a problem is detected with fetoscopy or external monitor. Note presence of bradycardiatachycardia or sinusoidal pattern.