Maternal and Neonatal Nursing Care Plans Annamma Jacob
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1Maternal and Neonatal Nursing Care Plans
2Maternal and Neonatal Nursing Care Plans
Annamma Jacob MSc (N) Principal Bhagwan Mahaveer Jain College of Nursing, Bengaluru, India Millers Road, Vasanth Nagar, Bengaluru, India Formerly Professor, St. Philomena's College of Nursing Mother Theresa Road, Bengaluru, India Principal, Graduate School for Nurses BNE, SIB, CMAI Cunningham Road, Bengaluru, Karnataka, India Nurse Supervisor, Suburban Medical Center, Paramount, Southern California, USA Assistant Director of Nursing, AL-Sabah Hospital, Ministry of Public Health, Kuwait Sister Tutor, LT College of Nursing, SNDT Women's University, Mumbai, Maharashtra, India Junior Tutor, College of Nursing, CMC Hospital, Vellore, Tamil Nadu, India
3Published by
Jitendar P Vij
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Maternal and Neonatal Nursing Care Plans
© 2009, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
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First Edition: 2009
9788184486872
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4Preface
Pregnancy and childbirth for a woman and transition from intrauterine to extrauterine life for a newborn are natural physiological processes. Healthy mothers and newborns usually require only little assistance from medical professionals. However, as there are potential risks at every stage of the experience, preparation for the events and health education for avoiding complications are of great importance in providing comprehensive care to mothers and newborns.
Maternal-newborn nursing is provided in a variety of settings varying from clients' homes, health centers, and hospital units and occasionally in intensive care units. For mothers and families experiencing complications, skilled nursing care based on sound scientific principles is needed.
Nursing process has been accepted as the tool for providing need-based total care to pregnant women during prenatal, intranatal and postnatal periods as well as for newborns in their transition to extrauterine life and early neonatal period. Students of midwifery and practicing nurses who are responsible for care of such women would benefit from this reference book to assist them prepare relevant and adequate care plans and to provide comprehensive nursing care to their maternal-newborn clients.
Annamma Jacob
5Acknowledgements
I would like to thank the people without whom this book would not have been possible. I am thankful to the Almighty for the ability, circumstances and health that were needed to write this book and for the opportunity to be able to contribute to the cause of nursing education.
The main motivating factor in writing this book Maternal and Neonatal Nursing Care Plans was our students of midwifery who needed a reference material for planning the care of their clients. I am grateful to my nurse colleagues, students and clients, who have enriched my understanding and shaped up my practice.
I express deep gratitude to Miss Malliga Jasmin Christina, Lecturer of Nursing, who spent time to carefully go through the pages and review the manuscript.
I also thank Shri Jitendar P Vij (Chairman and Managing Director) Jaypee Brothers Medical Publishers (P) Ltd., Mr Tarun Duneja (Director-Publishing) and Mr Venugopal, Manager of Bangalore Branch Office, who persuaded me to take up the task of writing a book on Nursing Care Plans.
6Introduction
The nursing process provides a strong framework that gives direction to the practice of nursing. Nursing care planning is the product of the application of the nursing diagnostic process. Without the planning process, quality and consistency in patient care would be lost.
Nursing care plans provide a means of communication among nurses, their patients, and other health care providers to achieve health care outcomes. Nursing diagnosis provides the basis for selection of interventions to achieve outcomes for which the nurse is accountable.
Today's nurses must make more complex professional decisions; determine what things to do and what things not to do for particular clients. The primary purpose of nursing diagnostic process applied by nurses is to design a plan of care for and in conjunction with the patients that results in prevention, reduction or resolution of their health problems.
This book is intended to facilitate the care planning process for nursing students and nurses working with maternal and newborn clients. The nursing diagnoses that are used throughout this book are taken from the NANDA's Taxonomy (NANDA-2006).
The format for each nursing care plan in the book is summarized as below:
The process of implementing the nursing care plan aims to develop critical thinking and decision-making skills of nurses in every clinical situation where mothers and newborns are recipients of medical and nursing care.
The contents of the book are organized in 5 units.
Unit 1
Contains information on nursing process and guidelines for planning care with nursing diagnosis.
Unit 2
Has care plans for pregnant women in prenatal period and includes all possible nursing diagnoses in normal pregnancy as well as those for mothers developing added medical problems.
Unit 3
Includes care plans for women in intrapartum period that are within normal physiological parameters as well as for those with complications of pregnancy, labor and delivery.
Unit 4
Contains care plans, which can be used as guidelines for care of women in the postpartum period.
Unit 5
Is devoted to newborn period and intended for care of newborns from birth to first week, with special emphasis on health education of mothers.
I hope this comprehensive compilation of care plans would enable students learning midwifery and all nurses practicing maternal-newborn nursing to plan and provide high quality nursing care to all their clients.