Professional Documents
Culture Documents
Maternity Care Plan
Maternity Care Plan
I.
OBJECTIVE
Nursing Diagnosis:
II.
NUTRITION
METABOLIC
SUBJECTIVE
OBJECTIVE
Nursing Diagnosis:
Diagnostic studies:
III.
ELIMINATION
SUBJECTIVE
OBJECTIVE
Nursing Diagnosis:
Diagnostic studies:
IV.
ACTIVITY - EXERCISE
SUBJECTIVE
OBJECTIVE
Nursing Diagnosis:
Diagnostic studies:
V.
SLEEP - REST
SUBJECTIVE
OBJECTIVE
Nursing Diagnosis:
Diagnostic studies:
VI.
COGNITIVE - PERCEPTUAL
SUBJECTIVE
OBJECTIVE
Nursing Diagnosis:
Diagnostic studies:
VII.
OBJECTIVE
Nursing Diagnosis:
Diagnostic studies
VIII.
ROLE RELATIONSHIP
SUBJECTIVE
OBJECTIVE
Nursing Diagnosis:
Diagnostic studies:
IX.
SEXUALITY - REPRODUCTIVE
SUBJECTIVE
OBJECTIVE
Nursing Diagnosis:
Diagnostic studies:
X.
OBJECTIVE
Nursing Diagnosis:
Diagnostic studies:
XI.
VALUES - BELIEFS
SUBJECTIVE
OBJECTIVE
Nursing Diagnosis:
DISCHARGE NEEDS
Identify why the client was admitted and any changes that have occurred during this admission,
including response to current treatment modalities.
Identify the pathophysiology for the primary diagnosis and all interrelated diagnosis. Please be
sure to include:
o What is occurring in the body
o Signs and symptoms
o Anticipated/ordered diagnostic/lab studies
o Anticipated/ordered treatment modalities
o Nursing care
1.
2.
3.
Indication
Dose Range
Patients Dose
Adverse Reaction
Nursing
Considerations
Goal:
Evaluation:
(Was goal achieved or not? If not, are there any actions which could help achieve that goal? Is it
appropriate to keep with the original plan?)
Goal:
Evaluation:
(Was goal achieved or not? If not, are there any actions which could help achieve that goal? Or, is it
appropriate to keep with the original plan?)
10
Goal:
Evaluation:
(Was goal achieved or not? If not, are there any actions which could help achieve that goal? Or, is it
appropriate to keep with the original plan?)
11