NURSING CARE PLAN (Student Version)
Patient Information
Name [Confidential]
Address [Confidential]
Religion Catholic
Diet Regular (advance as tolerated post-op)
Activity Level Bed rest post-op; gradual ambulation
Allergies None reported
Medications Dosage Route Frequency
Morphine/Hydromorphone Per MAR IV PRN
Ondansetron 4 mg IV Q6h PRN
Labetalol 20 mg IV Q6h PRN
Oxytocin (Pitocin) 10 units in IV fluids IV infusion Per protocol
Laboratory Test Results Result Normal Range
Hemoglobin 11.0 g/dL 12–16 g/dL
Platelets 180,000 /µL 150–400k
LFTs Mild ↑ AST/ALT 10–40 U/L
BP 150/92 mmHg <120/80 mmHg
Nursing Diagnoses
1. Acute Pain related to surgical incision and uterine contractions.
2. Risk for Infection related to surgical incision (C-section).
3. Risk for Impaired Maternal-Fetal Attachment related to emergency surgery.
4. Imbalanced Nutrition: Less than body requirements related to nausea and recovery.
Expected Outcomes
• Patient verbalizes pain relief with analgesics.
• Incision site remains clean and intact.
• Patient demonstrates bonding with newborn.
• Patient tolerates oral diet without nausea.
Nursing Interventions & Rationales
Intervention Rationale
