CARTALLA, SOFIA MILLEN B.

DELIVERY ROOM
2018 – 00229
BSN 2 – 1

NURSING CARE PLAN

Nursing Scientific
Assessment Planning Nursing Intervention Rationale Evaluation
Diagnosis Inference
Long term:
After nursing Interviewing with
Subjective: Short term goal of
intervention, the empathy while
“Ako lang po kasi having the patient
client will be reserving judgment
mag-aalaga kay vocalize her
able to perform allows parent to
baby. Baldado Risk for inability concerns about
well more freely express
po kasi yung of primary childcare has
independent frustrations and
asawa ko.” caretaker to been met –
functions disappointments
create, maintain, 1. Use active listening to patient was able
towards child regarding negative
Objective: or regain an explore parent's to share her
care – feelings, needs, and
Patient, who is environment that understanding of thoughts and
Parenting, considering that parenting skills.
16 years of age, promotes developmental needs and worries as to how
Risk for her partner is Unrealistic
is seen to worry optimum growth expectations of child and self she will be able to
Impaired disabled and expectations may be
and think about and within the context of cultural take care of her
she is of young present when parent
how she will be development of perspectives and influences. child alone.
and minor age. does not discern
able to handle the child due to Patient was also
what is normal for
alone and care being a able to seek and
Short term: the child
for her newborn primipara and ask for guidance
After nursing
child since her not in the legal and advice such
intervention, the (Denehy, 1992;
partner is age. as on proper
patient will be Herman-Staab,
currently breastfeeding
able to 1994; Mrazek,
disabled and cord care.
verbalize her Mrazek, Klinnert,
concerns about 1995)
CARTALLA, SOFIA MILLEN B. DELIVERY ROOM
2018 – 00229
BSN 2 – 1
the baby’s
health 2. Examine characteristics of
problems, care parenting style and
needs, and behaviors, including the
potential following:
outcome.
 Emotional climate at Children are at risk
home for neglect, abuse,
 Attribution of negative and other negative
traits to child psychosocial
 Failure to support child's outcomes in families
increases in autonomy with dysfunctions
 Type of interaction with
infant/child (Mrazek, Mrazek,
 Lack of Klinnert, 1995)
knowledge/concern about
health maintenance or
behavioral problems
 Other behaviors or
concerns
CARTALLA, SOFIA MILLEN B. DELIVERY ROOM
2018 – 00229
BSN 2 – 1
Before adequate
interventions and
education can be
3. Appraise parent's initiated,
resources and availability of understanding of the
social support systems. current support
Determine single mother's system and concerns
particular sources of support, must occur. The
especially availability of her mother's partner and
own mother and partner. her mother are often
Encourage use of healthy, important sources of
strong support systems. support

(Zacharia, 1994)

This will increase

trust and foster a
4. Acknowledge and praise working relationship
parenting strengths noted. with the parent

(Seiderman et al,
1996
CARTALLA, SOFIA MILLEN B. DELIVERY ROOM
2018 – 00229
BSN 2 – 1

5. Plan parental education

directed toward the following
age-related parental Parents with children
concerns: of any age may seek
 Birth to 2 years Transition, basic information
sleep, aggression about a variety of
 3 to 5 years Transition, concerns, which can
parent-child relationship, be anticipated and
sleep addressed by
 6 to 10 years School, providing ongoing
parent-child relationship, information and
divorce support
 11 to 18 years Parent- (Jones, Maestri,
child relationship, divorce, McCoy, 1993
school

Use of support
systems and social
6. Initiate referrals to services can provide
community agencies, parent an opportunity to
education opportunities, decrease feelings of
stress management training, inadequacy.
and social support groups.
(Campbell, 1992;
Baker, 1994)
CARTALLA, SOFIA MILLEN B. DELIVERY ROOM
2018 – 00229
BSN 2 – 1

Telephone
counseling services
can provide
confidential advice
and support to
families who might
7. Provide information
not otherwise have
regarding available telephone
access to help in
counseling services.
dealing with
behavioral problems
and parenting
concerns

(Jones, Maestri,
McCoy, 1993)
CARTALLA, SOFIA MILLEN B. DELIVERY ROOM
2018 – 00229
BSN 2 – 1

References:

n.a. Retrieved from:

https://www.researchgate.net/publication/26678771_Predictors_and_Outcomes_of_Postpartum_Mothers'_Perceptions_of_Re
adiness_for_Discharge_after_Birth

n.a. Retrieved from: http://fnm.tums.ac.ir/userfiles/education/en/pediatrics/Student/3.pdf

n.a. Retrieved from: http://nursinginterventionsrationales.blogspot.com/2013/08/impaired-parenting.html

n.a. Retrieved from: https://www.coursehero.com/file/35566894/Care-Plan-Risk-for-impaired-parentingdoc/

CARTALLA, SOFIA MILLEN B. DELIVERY ROOM
2018 – 00229
BSN 2 – 1

I. Demographic Data
Name: Jonalyn Dawat
Address:
Occupation:
Race: Filipino
Religious orientation: Roman Catholic
Marital Status:

II. Chief Complaint

III. Past and Present Health History

Date of Delivery:
Type of Delivery:
Lochia Discharge:
Management: Soap and water
Obstetrical Score:
Negative for AIDS, HIV
Complete vaccination???
Family Health History
CARTALLA, SOFIA MILLEN B. DELIVERY ROOM
2018 – 00229
BSN 2 – 1

IV. Lifestyle
Personal Habits
Diet
Sleep/Rest Pattern:
Activities of Daily Living (ADL):
Recreation/Hobbies:

V. Social Data
Family/Friends Relationship:
Educational History:
Occupational History:
Economic Status:
Home & Neighborhood condition:
Psychosocial:

VI. Physical Assessment

General Appearance
Face
Breast
Uterus
CARTALLA, SOFIA MILLEN B. DELIVERY ROOM
2018 – 00229
BSN 2 – 1

Lochia
Perineum
CARTALLA, SOFIA MILLEN B. DELIVERY ROOM
2018 – 00229
BSN 2 – 1