so, i'm trying to write a care plan for an intrapartum gbs positive patient. as a second nursing diagnosis, i've added risk for infection r/t prolonged artificial rupture of membrane & gbs positive status. however, now i'm thinking that if the mother is gbs positive it would no longer be risk for and instead, actual infection. initially, when i thought of the risk for diagnosis i was thinking more about risk for chorioamnionitis. mom is still very much at risk for this, yes? also, i have three nursing interventions:
Nursing assessment= Assess patient for signs & symptoms of infection (such as maternal fever, uterine tenderness, general malaise, maternal tachycardia, foul smelling amniotic fluid, or an increased white blood cell count)
Education= Educate patient on importance of reporting signs & symptoms of infection (maternal fever, uterine tenderness, general malaise, maternal tachycardia)
Therapeutic= Administer 2G ampicillin @125mL/30min IV bolus, followed by 1G ampicillin @125mL/30 min q4h until delivery
so, what i really need assistance with are my nursing goals...one long term and one short term. i have such difficulty thinking of an acheivable, measurable, and realistic goal. the first thing i think is that i would like to prevent maternal infection (but, again, is she already gbs infected?) and secondly, i think even if mom is already infected, i'd like to prevent fetal infection. both of those seem like long term goals for me. could i say something like, "the mother will state signs and symptoms of maternal infection" as a short term?
soooooo confused and aggravated! please help!