Category Archives: Maternal and Newborn Nursing Care Plans

NCP Elective Termination

Elective Termination Therapeutic abortion may be done to safeguard the woman’s health, or a voluntary abortion may be a woman’s reproductive decision. CLIENT ASSESSMENT DATA BASE Circulation Preexisting maternal health problems placing client at risk Ego Integrity Pregnancy often unplanned; … Continue reading

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NCP Dysfunctional Labor Dystocia

Dysfunctional Labor/Dystocia Dystocia refers to difficult labor which is usually due to uterine dysfunction, fetal malpresentation/abnormality, or pelvic abnormality. (Refer to CPs: Labor: Stage I—Latent Phase; Labor: Stage I—Active Phase.) CLIENT ASSESSMENT DATA BASE Activity/Rest Report of fatigue, lack of … Continue reading

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NCP Diabetes Mellitus Pre-pregnancy Gestational

Diabetes Mellitus Prepregnancy/Gestational This disorder of carbohydrate metabolism of variable severity may be preexisting (pregestational insulin-dependent diabetes mellitus [IDDM] or non–insulin-dependent diabetes mellitus [NIDDM]), or may develop during pregnancy (gestational diabetes mellitus [GDM]). (This plan of care is to be … Continue reading

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NCP Deviations in Growth Pattern

Deviations in Growth Patterns Deviations in intrauterine growth patterns not only increase the risk of morbidity and mortality in the early newborn period, but may also have long-term implications for altered growth and development and for altered CNS function and … Continue reading

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NCP Circumsicion

Circumcision Circumcision is a surgical procedure in which the prepuce (foreskin) of the penis is separated from the glans, and a portion is excised. This elective procedure is performed in the United States based on parental choice for reasons related … Continue reading

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NCP Cesarean Birth

Cesarean Birth Cesarean birth is an alternative to vaginal birth only when the safety of the mother and/or fetus is compromised. CLIENT ASSESSMENT DATA BASE Activity/Rest Fatigue may be present. Circulation Hypertension (escalating PIH) Hypotension, ashen color, cool/clammy skin (uterine … Continue reading

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NCP Care Following Cesarean Birth 4 hours to 3 days post partum

CARE FOLLOWING CESAREAN BIRTH (4 HOURS TO 3 DAYS POSTPARTUM) CLIENT ASSESSMENT DATA BASE Review prenatal and intraoperative record, and the indication(s) for cesarean delivery. Circulation Blood loss during surgical procedure approximately 600–800 ml Ego Integrity May display emotional lability, … Continue reading

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NCP Cardiac Conditions

Cardiac Conditions During pregnancy blood volume increases as much as 50% above the nonpregnant level and is accompanied by increases in maternal heart rate and stroke volume necessitating a drop in systemic and pulmonary vascular resistance. The client with heart … Continue reading

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