SALDAÑA, MIKAELLA BSN 2-C

PATIENT: BOBONAO, ROTCHEL 16 years old BARUGO,LEYTE NURSING CARE PLAN

CUES RATIONALE
DIAGNOSIS GOALS / OBJECTIVES NURSING INTERVENTION RATIONALE EVALUATION
Subjective: 1. Explain the importance of 1. To regulate the
When asked how Inability to perceive the family planning intervals between
she learned to Knowledge deficient importance of family Short term goals: pregnancies Short term goals:
breastfeed and related to lack of planning, parental After 8 hours of Nursing After 8 hours of
how to take care information resource guidance and the Intervention, the 2. Identify the advantages 2. To be able to select Nursing Intervention,
of the baby the methods available which patient will gain enough and disadvantages of the best the patient was able
clients replied by are appropriate to them. knowledge regarding family planning and each family planning to gain knowledge
method method appropriate to
saying “ako la an family planning regarding family
them to improve health
nag tuon” methods postpartum planning methods,
and economic
care and proper breast status postpartum care and
feeding. proper breast
Objective: 3. Discuss the methods 3. So that the client can feeding.
VS taken as available in the market choose which one
follows: Long Term: would best suite her
Temp: 36.2 °C At the end of the shift, the Long Term:
HR: 80 bpm patient will be able to 4. Refer to health center for 4. So that the client can At the end of the shift,
RR: 18 cpm verbalize the information DOH programs and free be aware of the the patient was able to
BP: 120/80 mmHg gained and use it to meet consultations regarding programs she can verbalize the information
health needs and goals. family planning and inquire to in case of gained and use it to
contraception unexpected problems meet health needs and
she may encounter goals

5. Health teaching on the 5. To be able to give

advantage of exclusive optimum nutrition to
breastfeeding for the her infant.
infant
SALDAÑA, MIKAELLA BSN 2-C NURSING CARE PLAN
PATIENT: BOBONAO, ROTCHEL 16 years old BARUGO,LEYTE

CUES RATIONALE
DIAGNOSIS GOALS / OBJECTIVES NURSING INTERVENTION RATIONALE EVALUATION
Subjective:
When asked how RISK FOR ALTERED Inappropriate nutrition can Short term goals 1.Explain the importance of 1. So that the mother can Short term goals
she learned to NUTRITION RELATED also lead to childhood After the 8 hour-shift the each vitamin and mineral incorporate the specific After the 8 hour-shift the
TO DEFICIENT obesity which is an client will be able to: and its sources foods that are relevant client was able to:
breastfeed and
KNOWLEDGE OF THE increasing public health  Identify the different during complementary
how to take care  Identify the different
MOTHER problem in many countries. feeding
of the baby the vitamins and minerals vitamins and minerals
Growth, health and
clients replied by development. needed for infant growth needed for infant
Adequate nutrition during  Determine when the 2.Educated the mother about 2. To prevent the baby growth
saying “ako la an
infancy and early childhood baby is hungry and the feeding cues and signs from being over fed that  Determine when the
nag tuon”
is essential to ensure the when the baby is full that the baby is full may lead to obesity or baby is hungry and
growth, health, and  Demonstrate proper under fed that may lead when the baby is full
development of children to handling of the baby, to malnutrition  Demonstrate proper
their full potential.  proper positioning for handling of the baby,
Objective: 3.Demonstrate to the mother 3.So that both mother and
breast feeding proper positioning for
VS taken as the different positions of baby will be comfortable.
 Enumerate the breast feeding
follows: breastfeeding
vaccinations that the
Temp: 36.2 °C
baby requires Long term goals
HR: 153 bpm 4.Enumerate the initial 4. To be aware of the After a week of nursing
RR: 44 cpm vaccines, the number of importance of having a
Long term goals interventions, the client
After a week of nursing doses for each vaccine and completely immunized was able to:
interventions, the client will its advantages for the baby baby and to be protected Enumerate different
be able to: from disease and sources of vitamins
Enumerate different infection and minerals she will
sources of vitamins and be needing when she
minerals she will be 5.Locate the nearest health 5. So mother will know stars with
needing when she stars care center where to go incase of complementary feeding
with complementary any inquiries and special Demonstrate proper
feeding need her child might handling of the baby
Demonstrate proper need and for further during breastfeeding
handling of the baby client eucation
during breastfeeding