Question

The patient reports smoking ½ pack of cigarettes per day throughout pregnancy. She is planning on receiving an epidural for pain control during labor. She plans to bottle feed. She denies any history of abuse, and denies any religious or cultural preferences that impact her care. She is single; Father Of Baby is at the bedside.

- What would you include in the plan of care for this patient during induction of labor?

-What concerns do you have for the patient at this time? What are her risks?

-List THREE applicable nursing diagnoses for this patient.

-What concepts are key/important in her care at this point? What other information would you ask about that is not available in the medical record?

Answer 1

The plan of care which can be included during the induction of labour are:

* history of respiratory problems

* monitoring the vital signs

* contractions with cervical dilatation

* any medical complicating history during pregnancy

The concerns I have to the patient is

* she is at risk of postpartum blues or psychosis * psychological and physical support * holistic care approach physically, socially, emotionally

* awareness about the breastfeeding importance and its significance in development of newborn.

The risks includes psychiatric symptoms, teratogenic effect of baby, stress disorder, insecurity.

The 3 diagnosis are:

* Anxiety related to child's birth and care

* Interrupted family process related to childbirth and being single mom

* risk for complications related to smoking during the pregnancy

* Risk for psychiatric illness related to stress

The concepts in her care are

* phsical

* psychological spiritual and medical history

The other information includes the past medical and obstetrical history, family history, environmental history, socio economic history, nutritional history.