Question

Nursing Care plan.

Can you make a NCP.

Jazzen, 20-year-old came in the Emergency room at Bukidnon Provincial Medical Center on

February 8, 2021 at 7:30 am with the complaint of sudden gush of clear fluid from her vagina, not

associated with pain or bleeding but with continued minimal leakage since 10 pm on February 7,

2021. It is her first pregnancy at 19 weeks age of gestation. Upon admission, vital signs revealed

increased body temperature of 38.7 degree Celsius, pulse rate of 122 bpm, respiratory rate of 20

cpm and blood pressure of 100/60 mmHg. As they were preparing documents for Jazzen to be

admitted in the OB ward for further diagnosis and monitoring, the nurse gathers data for initial

interview.


The nursing diagnosis is Risk for infection related to loss of protective barrier as evidence by positive ferns test.


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