Nursing Care Plan for Genetic Counseling

Genetic counseling is a communication process that deals with human problems associated with the occurrence or risk of a genetic disorder in a family. Counseling involves genetic screening, whereby a high-risk or general population is analyzed to detect the presence of disease, and case finding for couples at potential risk based on medical/family histories. The process can be prospective (counseling delivered to a client/couple of reproductive age before conception or before the birth of an affected child), or it can be retrospective/postnatal...

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Nursing Care Plan for Elective Termination

Therapeutic abortion may be done to safeguard the woman’s health, or a voluntary abortion may be a woman’s reproductive decision. NURSING PRIORITIES 1. Evaluate biopsychosocial status. 2. Promote/augment coping strategies. 3. Provide emotional support. 4. Prevent postprocedural complications. 5. Provide appropriate instruction/information. DISCHARGE GOALS 1. Free of complications following procedure 2. Coping effectively with situation 3. Specific therapeutic needs and concerns understood Nursing diagnosis: Risk for Decisional Conflict may be...

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Nursing Care Plan for Postpartum Hemorrhage

Postpartal hemorrhage is usually defined as the loss of more than 500 ml of blood during or after delivery. It is one of the leading causes of maternal mortality. Hemorrhage may occur early, within the first 24 hr after delivery, or late, up to 28 days postpartum (the end of the puerperium). NURSING PRIORITIES 1. Maintain or restore circulating volume/tissue perfusion. 2. Prevent complications. 3. Provide information and appropriate support for client/couple. 4. Have plan in place to meet needs after discharge. DISCHARGE GOALS 1. Tissue perfusion/organ...

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Nursing Care Plan for Postpartum Thrombophlebitis

Superficial thrombophlebitis is seen more often during the postpartal period than during pregnancy and is more common in women with preexisting varices. Postpartal deep vein thrombosis (DVT) and superficial thrombophlebitis have been attributed to trauma to pelvic veins from pressure of the presenting fetal part, sluggish circulation caused by mechanical edema, and alterations in coagulation related to the large amounts of estrogens produced during pregnancy. Thrombosis that involves only the superficial veins of the leg or thigh is unlikely to...

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Nursing Care Plan for Precipitous Labor

Rapid progression of labor, lasting less than 3 hr from onset to delivery, and out-of-hospital delivery are emergency situations that place the client/fetus at increased risk for complications and/or untoward outcomes. The attending nurse may have primary responsibility for the safety of the mother and fetus. NURSING PRIORITIES 1. Promote maternal and fetal/newborn well-being. 2. Provide a physiologically and psychologically safe experience for client and newborn. 3. Prevent complications. Nursing diagnosis of precipitous labor: Anxiety may be...

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