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    NCP During Labor

    Uploaded by

    Jamielyn Bassig
     Provide Emotional support continuous and encouragement emotional help the client support and cope with the encouragement stress of labor. to help client cope with contractions.

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    © All Rights Reserved
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    NCP During Labor

    Uploaded by

    Jamielyn Bassig
    1K views6 pages
     Provide Emotional support continuous and encouragement emotional help the client support and cope with the encouragement stress of labor. to help client cope with contractions.

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    Ncp during labor

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     Provide Emotional support continuous and encouragement emotional help the client support and cope with the encouragement stress of labor. to help client cope with contractions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    1K views6 pages

    NCP During Labor

    Uploaded by

    Jamielyn Bassig
     Provide Emotional support continuous and encouragement emotional help the client support and cope with the encouragement stress of labor. to help client cope with contractions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 6

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    SUBJECTIVE: Acute pain After 2 hours of  Monitor Detects After 2 hours of


    related to Tissue nursing frequency, progress and nursing
    "Aray! Ang sakitttt" dilation/stretching intervention, the screens for an intervention, the
    duration, and
    as verbalized by the and hypoxia client will be abnormal client was able to:
    intensity of
    client able to: uterine
    uterine
    contractions response  verbalized
    OBJECTIVE:
     Client perceived or
     Autonomic will actual
    responses verbalize reduction of
    perceived  Monitor Discomfort pain.
     Distraction or actual cervical levels  Client rest
    behavior (e.g., reduction dilation. Note increase as between
    restlessness) of pain. perineal the cervix contractions
     Client bulging or dilates, fetus .
     Facial mask of will rest vaginal show descends, and  Client used
    pain between small blood appropriate
    contracti vessels techniques
     Narrowed rupture.
    ons. to enhance
    focus Narcotics can
     Client comfort and
    will use have a maintain
    appropria depressant control of
    te effect on the labor
    technique fetus, process
    s to particularly
    enhance  Monitor when
    comfort maternal vital administered
    and signs and FHR 2–3 hr before
    maintain variability delivery.
    control of after drug Therefore,
    labor administration use may be
    process. . Note drug’s limited or
    effectiveness restricted, or
    and the naloxone
    physiological hydrochloride
    response (Narcan) may
    be
    administered
    to reverse
    adverse drug
    effects.

     Assess degree Attitudes toward


    of discomfort pain and
    through verbal reactions to pain
    and nonverbal are individual and
    cues. Assess based on past
    personal and experiences,
    cultural cultural
    implications background, and
    of pain. self-concept

     Assess client’s Touch may serve


    need for as a distraction,
    physical touch provide
    during supportive
    contractions reassurance, and
    encouragement,
    and may aid in
    maintaining
    control/reducing
    pain.

    Client may
     Inform client
    “sleep” and/or
    of onset of
    encounter partial
    contractions,
    amnesia between
    as appropriate.
    contractions. This
    can be a problem
    for some clients,
    impairing her
    ability to
    recognize
    contractions as
    they begin and
    thus have a
    negative impact
    on her sense of
    control. For
    others, the brief
    rest may
    “energize” them
    for the next
    contraction.
     Evaluate client Discomfort
    for tingling of caused by
    lips, face, respiratory
    hands, or feet. alkalosis can be
    If present, relieved by
    have client increasing carbon
    breathe into dioxide levels
    cupped hands through the
    or paper bag. rebreathing
    process

     Assist client Redirects and


    and partner focuses attention;
    with changing helps reduce the
    to more rapid perception of
    breathing; pain within the
    (i.e., pant- cerebral cortex.
    blow).

     Assist client Such measures


    with comfort promote hygiene,
    measures, relaxation, and
    including physical comfort.
    sacral/back Note: Individual
    rubs, needs or
    positioning, preference can
    mouth care, change quickly
    perineal care, during transition;
    change of i.e., client may
    pads/linens, request sacral
    hot cold rub, then the next
    compresses, moment demand
    sponge baths everyone move
    to face and away from her
    neck, or
    bath/whirlpool
    .
     Offer
    encouragemen Provides
    t, provide emotional
    information support, which
    about labor can reduce fear,
    progress and lower anxiety
    provide levels, and help
    positive minimize pain
    reinforcement
    for
    client’s/couple
    ’s efforts
     Provide for a
    quiet
    environment Nondistracting
    that is environment
    adequately provides optimal
    ventilated, opportunity for
    dimly lit, and rest and
    free of relaxation
    between
    unnecessary contractions.
    personnel.
    Carry out
    nursing
    procedures
    between
    contractions
    whenever
    possible.

    Collaborative:

     Administer
    analgesic as Judicious use of a
    ordered. Assist pharmacologic
    anesthesiologi agent assists the
    st if epidural client in coping
    or caudal with contractions
    anesthetic is to and may facilitate
    be used. labor.

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