Nursing diagnosis for cesarean birth. Postpartum Nursing Diagnosis & Care Plan 2022-12-09
Nursing diagnosis for cesarean birth Rating:
A nursing diagnosis is a clinical judgment about an individual's responses to actual or potential health problems or life processes. It is a statement that identifies a problem that a nurse can help the patient with. In the context of a cesarean birth, there are several potential nursing diagnoses that a nurse might consider.
One potential nursing diagnosis for a patient undergoing a cesarean birth is pain. Cesarean birth involves major surgery and can be associated with significant postoperative pain. The nurse can help the patient manage their pain by administering prescribed pain medications, providing emotional support, and encouraging the patient to engage in activities that can help alleviate pain, such as deep breathing and relaxation techniques.
Another potential nursing diagnosis for a patient undergoing a cesarean birth is risk for infection. Cesarean birth involves an incision in the abdominal wall, which can increase the risk of infection. The nurse can help the patient reduce their risk of infection by teaching them about proper wound care, monitoring the incision for signs of infection, and administering prescribed antibiotics as needed.
A third potential nursing diagnosis for a patient undergoing a cesarean birth is risk for bleeding. Cesarean birth involves major surgery, and there is a risk of bleeding during and after the procedure. The nurse can help the patient reduce their risk of bleeding by teaching them about proper wound care, monitoring the incision for signs of bleeding, and administering prescribed medications as needed to control bleeding.
Finally, a fourth potential nursing diagnosis for a patient undergoing a cesarean birth is risk for thromboembolism. Thromboembolism is the formation of a blood clot in a vein, which can be life-threatening if it travels to the lungs. The nurse can help the patient reduce their risk of thromboembolism by teaching them about proper wound care, monitoring the patient for signs of thromboembolism, and administering prescribed medications as needed to prevent or treat blood clots.
In summary, there are several potential nursing diagnoses that a nurse might consider when caring for a patient undergoing a cesarean birth. These include pain, risk for infection, risk for bleeding, and risk for thromboembolism. By identifying and addressing these potential health problems, the nurse can help the patient manage their care and recover from their cesarean birth.
Chorioamnionitis Nursing Diagnosis and Nursing Care Plan
Stage 3: Delivery of the Placenta. Ensure availability and functioning of resuscitation equipment. To facilitate the body in cooling down and to provide comfort. The patient may also feel an emotional intimidation to her self-esteem, owing to her feelings that she has failed, that she is weak as a woman, and that her expectations have not been met. Inhaled analgesic drugs like nitrous oxide, on the other hand, are sometimes administered, especially in the early stages of labor, because they can deliver sufficient pain relief for certain women when administered intermittently.
A supportive partner is an important factor in effective breastfeeding. A Cesarean section C-section is the surgical removal of the baby from the abdomen. If oxytocin is infusing, turn it off and increase the plain IV solution. Nursing diagnoses handbook: An evidence-based guide to planning care. Explain preoperative procedures in advance, and present rationale as appropriate.
Cesarean Delivery Nursing Care Plan and Management
To bring the body temperature down quickly as possible. Assists in the planning of long-term modifications required for a safe pregnancy. Drop anxiety-producing circumstance e. The patient in labor may be in too much anxiety and discomfort to hear or comprehend instructions properly. If oral intake is insufficient or limited, parenteral fluids may be essential.
Cultures: Identify presence of herpes simplex virus type II. Speak slowly and emphatically. Patient is at increased risk if infectious process or hypertensive state is present. Knowing the position of the baby before labor begins may assist the expectant mother in preparing for labor and delivery. For first-time mothers, the usual duration of early labor varies from hours to days.
Many pregnant women complain of mild headaches frequently. Knowing the possible outcomes helps prevent unnecessary anxiety. A woman has undergone a cesarean birth is to be discharged. The doctor will eliminate any staples used to approximate the skin prior to discharge. A variety of things alters individual pain tolerance levels. The placenta usually takes 30 minutes to deliver, but it might take up to an hour. Disruption of uterine arteries, 3.
Pregnancy Nursing Diagnosis and Nursing Care Plans
Determines areas to be discussed. Retrieved May 11, 2022, from. Nursing Interventions Rationale Assess location, nature, and duration of pain, especially as it relates to the indication for cesarean birth. It helps in cooling down the body temperature. Further stress anticipated sensations during delivery and recovery period.
Give information about the surgical routine, including sounds, lights, dress, and instruments. Decreases risk of ascending infection. Lets the couple talk about the situation by themselves. Alteration in these vital signs is frequently associated with severe pain and distress. Reinforce positive aspects of maternal and fetal condition.
Impending delivery of premature fetus. The procedure is made with a vertical incision to decrease the chances of reopening. Monitor and measure the fetal heart rate at rest on a regular schedule. To make an informed decision about their care, the patient must understand what is occurring to them throughout labor. Decreasing the stomach secretions. Dehydration can be detected by escalations in temperature, blood pressure, pulse, respirations, and fetal heart rate.