OUR LADY OF FATIMA UNIVERSITY

ASSESSMENT DIAGNOSIS GOAL/OBJECTIVE NURSING RATIONALE EVALUATION

INTERVENTION
Check the client’s: Difficulty Breathing The patient should Check the vital signs To see if the clients’ After 8-10 hours, the
Respiratory Rate maintain normal VS. of the client every 15 Vital signs are going client should not be
Temperature minutes-30 minutes back to normal or in pain and should be
02sat Discomfort and Pain The client should be not. relieve.
Blood Pressure while giving birth reduced or stopped. Minimize vaginal
spotting or vaginal Check CBC [Complete The patient should be
Check the client’s Elevated: The client’s pain will bleeding. Blood Count] to able to regain
history of giving birth Respiratory Rate be less to no pain. determine how much consciousness and
Temperature Prevent hemorrhage blood the client loss. can speak.
Tenderness of Blood Pressure The client will be able
Breasts to stay positive to Provide privacy and To safely deliver the The bleeding or
overcome the time for the client. baby and to save the spotting should also
Change of Vital Signs trauma. mother. stop.
Provide comfort
The client will show To prevent any risks
interest in learning Monitor CBC of the that can cause
about what client to monitor problems to the
happened. blood loss. clients and to the
newborn.
The client will now Check the pads of the
know what to do to client to see if there’s
avoid risks. more blood
discharge.

Carefully assess the

client.

MANINANG, AMIEL ALFEIRI G.

BSN 2 Y3 6
NURSING CARE PLAN [BLEEDING DURING LABOUR]