NURSING CARE PLAN

ASSESSMENT

Subjective:
Araaaay
masakit as
verbalized by the
patient
Objective:
V/S taken as
follows
BP: 100/60
mmHg
T: 37.2

RR: 25 bpm
PR: 79 bpm
Pain scale: 6/10
patient is crying

DIAGNOSIS
Acute pain r/t labor
contraction

PLANNING

IMTERVENTION

RATIONALE

STG
At the end of 5
minutes of nursing
intervention the
patient will
demonstrate use of
relaxation skills.
LTG
At the end of 8
hours of nursing
intervention the
client will described
1/ 10 in the pain
scale

Independent:
provide support to the
patient
coach patient how to push
teach patient to do deep
breathing
monitor vital signs
encourage verbalization of
feeling about the pain/ take
pain scale

To encourage patient to
relax to push right and
lessen the pain.
-serve as basis for any
changes
-to measure the pain
felt the patient
-to lessen the pain

EVALUATION
At the end of 8 hours of
nursing intervention the
patient described the pain
1/10 in the pain scale.

Dependent:
administered pain
reliever (mefenamic acid)
as ordered

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