ASSESSMEN NURSING RATIONA GOAL INTERVENTION RATIONALE EVALUATIO

T DIAGNOSI LE N
S
Subjective Risk for Post After 2-4 • Monitor • To measure After
“halos ilang ineffectiv partum hrs of amount of the amount performing
linggo na e tissue hemorrha nursing bleeding by of blood the
ko perfusion ge is interventi weighing all loss. interventio
nakapanga related to defined on, the pads. n, the
nak, bakit hemorrha as loss of client will • Frequently client will
ang dami ge. blood in experienc monitor • Early verbalize
pa din dugo the post e vital signs. recognition understand
ang nalabas partum stabilized of possible ing of
sa akin?”-as period of vital adverse causative
verbalized more signs. effects factors and
by the than allows for purpose of
client 500mL. prompt individual
intervention therapeutic
Objective • Massage . interventio
- the uterus. ns and
restlessnes medication
s • To help s. She will
-irritability expel clots also
-pallor of blood and demonstrat
-dizziness it is also e behaviors
used to to monitor
VS check the and correct
BP: tone of the deficit as
Temp: uterus and indicated.
RR: ensure that
PR: it is
clamping
down to
prevent
excessive
bleeding.

• Place the • Encourages

mother in venous
Trendelenb return to
erg facilitate
position. circulatin
and prevent
• Administer further
iron. bleeding.
• Administer • To supply
medicine as nutrients in
ordered. the blood.
• To prevent
further
bleeding.