ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS EVALUATION

Subjective Data: Activity After 8 hours of -Monitored vital signs and The client will able
“Hindi na nga ako Intolerance: Level nursing interventions recorded to understand and
nakakakilos ng tulad 1 r/t Enforced Bed the client will able to participate willingly
sa dati dahil sa Rest During understand and -Inspected perineum for to all nursing
kalagayan ko”, as Pregnancy participate willingly bleeding interventions and
verbalized by the Secondary to all nursing health teachings
client. Potential for interventions and -Assesses blood loss within the level of
Hemorrhage health teaching her activity.
Objective Data: within the level of -Assessed the duration of
• Presence of her ability. pregnancy and the presence
vaginal of pain
bleeding when
prolonged - Estimated the percent of
standing blood loss by weighing
• Bed rest perineal pads before and
• RR= 25 cpm after use and calculating
• BP=110/90 the difference by
• PR=90 bpm subtraction is a good
• 36 weeks AOG method to determine
vaginal loss

-Promoted bed rest

-Encouraged to limit
activities like walking and
prolonged standing

-Provided safe and non-

stressful environment

-Provided emotional
support from the families/
relatives