Nursing Care Plan for Labor

^{Signs and symptoms}

·         Facial Grimace

·         Labored breathing

·         Discomfort

·         Rubbing the abdomen and back of the patient.

·         Irritability

·         Restlessness

Long Term Goals: By the end of the shift, the patient will feel more relaxed and comfortable.

2.      Monitor labor stages

3.      Encourage practicing of the relaxation breathing technique

4.      Encourage the husband to help the patient relax by rubbing the back

2.      Assess the stage of labor by performing a vaginal examination to determine cervical dilation and the position of the fetus.

3.      Train the patient with the best breathing and relaxation techniques based on the stage of labor. Encourage the husband to provide comfort measures back rub, helping position of comfort.

2.      The labor stage and the level of dilation determine the necessary timing for the arrival of the child. The examination established when the patient is fully dilated and ready to give birth.

3.      Proper positioning with the relaxation of perineal tissue optimizes bearing-down efforts, facilitates labor progress, reducing discomfort.

2.      By the end of the shift, the client was ready for delivery.

3.      By the end of the shift, the patient was more calm and relaxed even as she moved to the delivery room.

• ^{Feeling nervous}
• ^{Restless or tense.}
• ^{The patient had a sense of impending danger, panic, or doom.}
• ^{The patient had an increased heart rate.}
• ^{Breathing rapidly}
• ^Sweating.

Long Term Goal: Patient will verbalize decreased of anxiety by the end of the shift.

1. Monitor the level of anxiety in the patient every thirty minutes.
2. Assess the knowledge of the patient on the labor process.
3. Ensure and facilitate patient’s comfort

2.      Ensure the patient is well informed on the labor process.

1. Stay with the patient during labor and engage in constant conversation to reduce anxiety.

2.      Knowledge of the process makes the patient more prepared and relaxed.

3.      Engaging in conversation reduces the possibility of thinking and getting worried.

2.      The patient learned various processes that the practitioners have to conduct during labor (Wayne, 2019).

3.      By the end of the shift, the patient was relaxed and less anxious. She confirmed that she no longer felt anxious during the conversation with the nurse.

·         The patient confirms itchiness in the labia.

·         Unpleasant odor of discharges

Long Term Goal: By the end of the shift, the patient should have learned the appropriate methods of reducing the impact of the infection and the effective interventions to manage the infection.

2.      Establish the state of the labia in terms of inflammation.

3.       Obtain the vaginal discharge for testing.

2.      Conduct a check on the labia to determine if it had has inflammation.

3.      Conduct a test on the vaginal discharge to determine the cause of the itching.

2.      Itching on the labia is one of the major signs of vaginal infection. Itching of labia results in inflammation, which indicates the presence of infection.

3.      Conducting systematic testing on vaginal discharge can help in determining the impending problem and the appropriate interventions.

2.      The assessment of labia confirmed inflammation

3.      The vagina discharged helped in testing for the various infections and determining the right intervention.