SISON,MELANIE B.

BSN II CI: Mrs. Rosemarie Tadena

ASSESSMENT NURSING IMPLEMENTATION INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
OBJECTIVE: Risk for infection After one hour of intervention, the After one hour of
related to fresh mother will learn how to give 1. Note risk factors for 1. Identifying the area of intervention, the mother
 Not umbilical cord proper cord care by: occurrence of infection which serves as a learned how to give proper
exposed beneficial environment for cord care by:
 Giving the proper and bacterial growth will help
hygienic method of the mother recognize 1. Giving the proper and
cleaning the remaining areas that will need hygienic method of
umbilical cord. thorough cleaning. cleaning the remaining
umbilical cord.
2. Assess and document skin 2. Assessing the skin
conditions around the base of conditions around the base
the umbilical cord. of the umbilical cord will
enable the mother

3. Stress proper hand washing 3. This will help to reduce

techniques. invasion of bacteria’s

4. Proper application of betadine 4. For the safety and

and alcohol on the tip of the cleanliness of the umbilical
cord.

5. prevent spread of infection

5. Instruct client how to protect around the base of the
the integrity of the skin. umbilical cord.