Need help with Laboring, Postpartum, and Neonate Care Plan!

Nursing Students Student Assist

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OK, so we have to do a "generic" care plan for a laboring client, a postpartum client, and neonate client. I'm having so much trouble with it because we don't have an actual patient or any info. Our teacher just said to do a generic one. We have to have 5 nursing diagnoses with 5 interventions each for each one. that's 15 diagnoses with no actual patient info! omg! I'm freaking out! and my care plan book has NOTHING about neonatal and maternal care.

What I have so far for each:

Laboring client:

1.)Anxiety RT unknown events of labor or lack of support.

2.)Acute Pain r/t uterine contractions and stretching of cervix and birth canal

3.)Fatigue RT increased energy demands

4.)Impaired Urinary Elimination RT frequency caused by increased pelvic pressure and hormonal stimulation

Postpartum Client:

1.)Impaired Urinary Elimination RT effects of anesthesia, tissue trauma

2.)Impaired Skin Integrity RT episiotomy, lacerations

3.)Risk for imbalanced Fluid Volume RT shift in blood volume, edema

4.)Risk for Infection RT tissue trauma, blood loss

5.)Readiness for enhanced Parenting: expressing willingness to enhance parenting skills

And... Nothing for neonatal, yet. And NO interventions for any of these diagnoses, yet, because I have no resource from which to obtain it! my textbook is less than helpful.

I'm really bad in making nursing care plans, I remember when I'm making mine for the first time it was really hard since I didn't know what to do, but as the time goes by, it'll be a piece of cake, not really. LOL. Anyway, birth trauma for the neonate is possible for a dx. Immunodeficiency, ineffective thermoregulation, for a neonate who has hyperbilirubemia, or a neonate who is premature.

When making your self nursing care plan without patients, think of a possible medical diagnosis for a patient then determine the symptoms of this disease. You'll have tons of nursing care plans that you can do in one disease.

I hope this helps!

and maybe get yourself a nurse's pocket guide. It'll help you a lot trust me. :)

Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc.
I'm really bad in making nursing care plans, I remember when I'm making mine for the first time it was really hard since I didn't know what to do, but as the time goes by, it'll be a piece of cake, not really. LOL. Anyway, birth trauma for the neonate is possible for a dx. Immunodeficiency, ineffective thermoregulation, for a neonate who has hyperbilirubemia, or a neonate who is premature.

When making your self nursing care plan without patients, think of a possible medical diagnosis for a patient then determine the symptoms of this disease. You'll have tons of nursing care plans that you can do in one disease.

I hope this helps!

Part of the reason you struggle with nursing care plans is because picking a medical diagnosis and then trying to find nursing diagnoses that fit is entirely the wrong way to do it. Pretty sure Esme and GreenTea will pop in here soon with loads of information but I'll start with this. You need to list out your observations (vital signs, lab work, physical assessment, learning needs etc) and choose your diagnoses from these.

The problem is that my teacher wants these care plans for a generic healthy patient. Not a real patient or even a fake one with real problems. There is no observation data

Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc.

Are you in maternal-child nursing at this time?

If you don't have the NANDA-I 2015-2017 (the current edition) get it on Amazon stat; 2-day delivery or instant download to your Kindle or iPad. You will find plenty of potential nursing diagnoses, including some that could be found on assessing infants*, and since you're making up the patient, when you see some defining characteristics that might match one, you're good to go.

Get a good OB nursing text while you're there. It's absurd to have a student do an assignment like this, with no experience, no observation, no nothing. Nursing diagnosis does not come from medical diagnoses but from nursing assessment.

As for potential interventions, you need a better book on planning. Take a look at NIC-NOC-NANDA while you're at Amazon. You will also find all the answers you need in a decent OB nursing text. You can also speak to some women who have had babies and ask them what care they got or would have liked to have had.

Damn the instructors that don't know any better than to teach like this. But you've come to the right place; we help people like you all the time. :)

* what do you know about newborns as they adapt to extrauterine life? temp regulation, feeding, airway, umbilicus care all come to mind...

It just so difficult to figure out how to fill everything in that's not there. I have most of my nursing diagnosis, but I don't know what to put the as evidenced by as because there isn't any.

It just so difficult to figure out how to fill everything in that's not there. I have most of my nursing diagnosis, but I don't know what to put the as evidenced by as because there isn't any.

For a risk diagnosis, there is/are risk factor(s).

For an already identified problem, there is evidence.

You don't need to give evidence of a problem for which there is a risk. That's all you need, the risk factors(s).

For an identified problem, you have to list the evidence you used to make the diagnosis.

I don't know how to make it any clearer than that. Tell me what I'm missing.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
The problem is that my teacher wants these care plans for a generic healthy patient. Not a real patient or even a fake one with real problems. There is no observation data

I hate when teachers o this.....grrrrrr. It defeats the purpose.

https://allnurses.com/nursing-student-assistance/l-d-care-453350.html

https://allnurses.com/nursing-student-assistance/l-d-care-453350.html

https://allnurses.com/general-nursing-student/help-for-quot-440891.html

https://allnurses.com/nursing-student-assistance/labor-and-delivery-670707.html

https://www.slcc.edu/nursing/docs/Website%20Documents%20Cascade/NSG%201405%20Care%20Plans.pdf

http://www.snjourney.com/PreNurPDF/carestandarda4.pdf good one

http://www2.sunysuffolk.edu/andersj/Nursing%20care%20in%20labor.Management%20of%20Discomfort.pdf

Here are several references for labor, and other nursing care plans.

Thank you everyone for your help. I had to turn them in already so we'll see how I did tomorrow:)

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