8/12/2019 Nursing care plan in OB
1/2
Karen Elizabeth B. Valdez
II-10
RLE 2
Cues/Clues Diagnosis Rationale Objectives
NursingIntervention
Rationale Evalu
Abdominal painrelated to constipation
Objective:
Not yet defecated6 hours after
delivery Transferred
through
wheelchair
Always drinkssoftdrinks whenshe was pregnant
Guardingbehaviour, facial
grimace
Limitedmovement;
patient was sittingand wasnt able tocarry her baby
Patient wasstressed out.
wala kasikaming pera eh
as verbalized
masakit yungtiyan ko di pa kasiako makatae as
verbalized
Rated pain 5 outof 10
Feels dizzy whenvigorouslymoving
Risk for constipationin relation to slow GI
tract motility and oral
iron
Patient is takingFerrous sulphate,
constipation is
one side effect ofiron products
GI tract motilityslowed because of
progesterone
resulting inincreased
resorption ofwater and drying
of stool
Too little activity;patient is only
sitting and isunable toambulate
Stress also causesconstipation. She
was alwayslooking for her
husband toborrow money forher medications.
She mentionedthey have no
money.
After 1 day ofnursing
intervention,
patient will beable to
1. Defecate andmaintain usual
pattern of bowel
functioning2. Demonstrate
lifestylechanges such as
increased waterintake
3. Verbalizeunderstandingof ambulating toalleviate
constipation4. Relax and avoid
stress
Encouragehigh-fiber and
bulk in diet
such as papaya,pineapple, andgreen leafy
vegetables
Instruct toincrease waterintake (8
glasses)
Encourageactivity andexercise within
limits of
individualability such aswalking and
change ofposition
Encourage toconnect with
significantothers like thefamily and to
get enoughsleep.
High-fiber dietaids in
maintaining
regular bowelmovementsand producing
soft stools forelimination
Water addsfluid to the
colon, makingbowel
movementssofter and
easier to pass
Exercise helpsconstipation bydecreasing the
time it takesfood to move
through thelarge intestine
Strong supportsystem canreduce stress
and enoughsleep restores
energy andprovidescomfort.
After 1 dnursing
interven
goals wemet
