CLIENT TEACHING PLAN
STUDENT NAME A.Hadad
CLIENT’S INITIALS
LEARNING
ASSESSMENT DATA
(1)
Client is an 18 year old
nullipara one day
postpartum caesarian
birth. Her descriptions of
her surgical experience
are consistent with the
“Taking In“ phase She
appears to be nervous and
becomes anxious when
someone enters her room.
She has indicated that no
visitors allowed other
than those which use the
password that she has
designated. She states
that the biological father
is crazy and wants to take
the baby from her. She
also states that her
grandmother received a
call notifying her that her
husband (the grandfather)
had passed away while
her grandmother was
driving her to the
hospital.
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Revised 2017
CLIENT’S MEDICAL DX: Labor and Delivery
NURSING DIAGNOSIS(1) Knowledge deficit r/t lack of previous exposure to infants.
AGE 18
LEARNING OUTCOMES CONTENT INSTRUCTIONAL EVALUATION OF
(3) (In detail for each outcome specified) METHODS OUTCOMES
(2) (1) (1)
1) Cognitive Cogitative: The nurse will discuss Cognitive Goal:
The Client will When: with the client the Met - Client stated that
verbally  The infant has excess mucus in the technique to use the bulb she will need to squeeze
acknowledge that nares. syringe and also when the bulb for it to suck the
she understands how  Coughing or gaging on excess necessary to use the bulb mucus out and that she
to use the bulb mucus in the mouth. syringe on her infant. should start with her
syringe after the  Sounds as if his/her cry is in a daughter’s mouth.
bubble or through mucus.
teaching period. The Nurse will
What/Why: demonstrate the Psychomotor Goal:
 The bulb syringe should be kept in
2) Psychomotor
the crib.
technique of how Partially Met – Client
The client will  The infant’s mouth is suctioned first
operate the bulb syringe gives return demonstration
demonstrate in before the nose to prevent aspiration and will also of squeezing the bulb
return to the nurse (chocking) on mucus secretions. demonstrate how to use syringe. When asked about
how to use the bulb  When suctioning the mouth, the tip the bulb syringe on the demonstrating on her
syringe by the end of of the bulb syringe is placed at the client’s infant. infant, the client turned her
the nurse’s shift. side of the mouth, at the pocket of head and looked at her
the cheek. This prevents the Instruction Setting: mother and said that she
stimulation of the gag reflex. Client’s room will show her at home.
 The nasal passage should be Section Length: Client and her mother were
suctioned one nostril at a time. 20 minutes given and additional
demonstration
approximately 3 hrs later.
Client preferred to tell me
about the infant’s
biological father.
1
 The client’s infant was 3) Affective
frequently bringing up
mucus which was being
suctioned by the assigned
nurse and myself.
Ob Clinical & Lab
Revised 2017
Psychomotor: IMPLEMENTATION: My recommendation
The client will How: Client was shown the would be to follow up with
verbalize that she Mouth: bulb syringe and how to the client on postpartum
feels confident that 1. Depress the center of the bulb depress the center of the day 2, when she would be
she can use the bulb to squeeze the air out of the bulb in order to create a closer to the “Taking
syringe on her infant bulb syringe. Do this away vacuum within the bulb. Hold” phase.
without the from baby's face. Do not Using the client’s infant
release the pressure from the
intervention of the the client was shown Affective Goal:
bulb.
nurse before the end where to place the bulb Not Met – When asked if
of the shift. She will 2. Gently insert the tip of the bulb syringe in the infant’s she thinks if she can use
also verbalize to the syringe into one side of the mouth. the bulb syringe on her
nurse if she has any baby's mouth (pocket of The client was given a baby, the client states that
fears regarding the cheek). comprehensive her mom will show her.
use or when to use demonstration of where My recommendation: If I
the bulb syringe on 3. Release the pressure from the to place the bulb syringe had an additional clinical
her infant so that bulb to remove the mucus in her infant’s mouth day on the following day
further teaching can while using proper than I would follow up
4. Remove the syringe from
be initiated. technique, to suction with the client on
baby’s mouth. Empty the
mucus by squeezing the bulb
secretions from the postpartum day 2 with an
away from the baby's face. infant’s mouth. The additional demonstration. I
client was instructed that feel that the client would
5. Repeat in the cheek pocket on the mouth should be be more receptive to
the other side of the baby's suctioned first and how learning newborn care
mouth. to suction nares if closer to entering the
necessary. “Taking Hold” phase.
Rationales were
explained to the client **** In realizing that my
along with which goals for this client was
conditions it would be not met, I asked if the
necessary to use the bulb client’s mother would be
syringe on her infant. present for the repeat
demonstration. The
*** Client was given a client’s mother stated that
repeat demonstration the she understood the
next time the infant instruction and would be
needed suctioning. I confident to use the bulb
requested that her syringe on the infant
mother be present as because she used one on
well. her daughter (the client).
2
 Nares:

1. Depress the center of the bulb

to squeeze the air out of the
bulb syringe. Do this away from
baby's face. Do not release the
pressure from the bulb.

2. Gently insert the tip of the

syringe into the baby's
nostril.

3. Release the pressure from

the bulb to remove the
mucus.

4. Remove the syringe. Empty

the mucus by squeezing the
bulb away from the baby's
face.

5. Repeat in the infant’s other

nostril.

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 Cleaning the bulb
syringe:

Mucous should be expelled

from the syringe after each
suction and wiped on a
paper towel or tissue.

The bulb should be

cleaned/flushed out with
hot soapy water and then
rinsed after each use. The
bulb should be squeezed 3-
4 times to facilitate drying.
The syringe should not be
placed in the dish washer.

Ob Clinical & Lab 4

Revised 2017