Nursing Care Plan (NCP) for Dystocia
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Outline
Lesson Objective for Nursing Care Plan (NCP) for Dystocia
To guide nursing professionals in managing and supporting patients experiencing dystocia, focusing on understanding the condition, recognizing its signs and symptoms, and implementing effective interventions to manage labor progression, alleviate discomfort, and prevent complications.
Pathophysiology for Dystocia
Dystocia refers to a difficult or abnormal labor due to slow cervical dilation, prolonged stages of labor, or ineffective uterine contractions. It can be caused by a variety of factors including fetal malposition, pelvic structural abnormalities, or inadequate uterine contractions.
Etiology for Dystocia
Dystocia can result from multiple factors such as:
- Abnormalities in the Pelvis or Birth Canal
- Fetal Malposition (e.g., breech presentation)
- Ineffective Uterine Contractions
- Maternal Exhaustion
- Psychological Factors impacting labor progression
Desired Outcomes for Dystocia
- Progression of labor through effective contractions and cervical dilation.
- Safe delivery of the infant with minimal risk to the mother and baby.
- Alleviation of pain and discomfort associated with labor.
- Patient understanding of labor management and interventions.
Nursing Care Plan (NCP) for Dystocia
Subjective Data:
- Reports of intense pain or discomfort during contractions.
- Expression of anxiety or fear about labor progression and delivery.
- Feelings of exhaustion or frustration with prolonged labor.
Objective Data:
- Slowed or stalled labor progression.
- Fetal heart rate patterns indicating distress.
- Inadequate uterine contractions observed on the monitor.
- Abnormal fetal position or presentation noted on examination.
Nursing Assessment for Dystocia
- Labor Progression Monitoring:
- Regularly assess cervical dilation, effacement, fetal descent, and contraction patterns.
- Pain Assessment:
- Evaluate the intensity and frequency of labor pain.
- Fetal Monitoring:
- Continuously monitor fetal heart rate for signs of distress.
- Maternal Vital Signs:
- Monitor for signs of exhaustion or dehydration.
Nursing Diagnosis for Dystocia
- Ineffective Labor Progression related to dystocia.
- Acute Pain related to prolonged labor and uterine contractions.
- Risk for Fetal Distress associated with labor dystocia.
- Anxiety related to the labor process and potential complications.
Nursing Interventions and Rationales for Dystocia
Fetal Monitoring: Continuously monitor fetal heart rate to identify any signs of distress.
- Rationale: Early detection of fetal distress is critical for timely intervention.
Positioning and Mobilization: Encourage different labor positions and mobility to facilitate labor progress.
- Rationale: Changes in maternal position can improve fetal alignment and enhance labor progression.
Pain Management: Provide pain relief options as per patient’s preference and clinical indications, including pharmacological and non-pharmacological methods.
- Rationale: Effective pain management can reduce maternal stress and improve uterine contractility.
Support and Reassurance: Provide continuous emotional support and clear communication regarding labor progress and interventions.
- Rationale: Reducing anxiety can positively influence labor progress.
Collaboration with Healthcare Team: Work closely with obstetricians and midwives to make decisions regarding labor augmentation or potential surgical interventions.
- Rationale: Multidisciplinary approach ensures optimal management of dystocia and safety of mother and baby.
Nursing Evaluation for Dystocia
- Labor Progression:
- Evaluate the effectiveness of interventions in facilitating labor progression.
- Pain Management:
- Assess the woman’s comfort level and effectiveness of pain relief measures.
- Fetal Well-being:
- Continuously monitor for fetal health and responsiveness to interventions.
- Maternal Status:
- Monitor the mother’s physical and emotional well-being throughout labor.
Further Reading and Verification:
- [NURSING.com – Dystocia](https://www.nursing.com)
- [American College of Obstetricians and Gynecologists – Dystocia and Augmentation of Labor](https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2019/02/dystocia-and-augmentation-of-labor)
- [NIH.gov – Labor Dystocia](https://www.ncbi.nlm.nih.gov/books/NBK544290/)
This care plan aims to provide effective management for patients experiencing dystocia, focusing on facilitating labor progression, managing pain, monitoring fetal well-being, and providing emotional support. Personalizing care based on individual patient needs is key for successful labor and delivery outcomes.
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Example Nursing Diagnosis For Nursing Care Plan (NCP) for Dystocia
- Ineffective Labor Progression related to dystocia.
- Acute Pain related to prolonged labor and uterine contractions.
- Risk for Fetal Distress associated with labor dystocia.
- Anxiety related to the labor process and potential complications.
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Nursing Care Plans
How do I write a Nursing Care Plan? Why and how do we even use Nursing Care Plans? Sound familiar?
Our Nursing Care Plan Course will answer those questions and help you understand the most effective way to write a Nursing Care Plan including how to write a nursing diagnosis, interventions, and more. PLUS, we are going to give you examples of Nursing Care Plans for all the major body systems and some of the most common disease processes. The course also includes a nursing care plan template that you can use to quickly complete care plans. When you complete this course, you will be able to write and implement powerful and effective Nursing Care Plans.
Course Lessons
Nursing Care Plans Course Introduction
Nursing Care Plans Course Introduction
Understanding Nursing Care Plans
Purpose of Nursing Care Plans
How to Write a Nursing Care Plan
Using Nursing Care Plans in Clinicals
Cardiovascular (Cardiac, CVD) Care Plans
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Myocarditis
Nursing Care Plan for Distributive Shock
Eyes, Ears, Nose, Throat (EENT) Care Plans
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan for Macular Degeneration
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan for Nasal Disorders
Gastrointestinal (GI) Care Plans
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan (NCP) for Constipation / Encopresis
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Gastritis
Nursing Care Plan for Hemorrhoids
Genitourinary (Renal) (Kidney) (Nephrotic) Care Plans
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan for Herpes Simplex (HSV, STI)
Nursing Care Plan for Gonorrhea (STI)
Nursing Care Plan for Chlamydia (STI)
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Testicular Torsion
Nursing Care Plan (NCP) for Epididymitis
Hematology (Blood, labs), Oncology (Cancer) & Immunology (Immunity) Care Plans
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Hemophilia
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Hypoglycemia
Total Iron Binding Capacity (TIBC) Lab Values
Nursing Care Plan for Scleroderma
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Liver Cancer
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Kidney Cancer
Nursing Care Plan (NCP) for Bladder Cancer
Nursing Care Plan (NCP) for Thyroid Cancer
Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Nursing Care Plan (NCP) for Lung Cancer
Nursing Care Plan (NCP) for Prostate Cancer
Nursing Care Plan (NCP) for Testicular Cancer
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Breast Cancer
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Ovarian Cancer
Integumentary (Skin) Care Plans
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Psoriasis
Mental Health Care Plans
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Care Plan (NCP) for Dissociative Disorders
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)
Nursing Care Plan (NCP) for Paranoid Disorders
Nursing Care Plan (NCP) for Personality Disorders
Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)
Metabolic & Endocrine Care Plans
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Fluid Volume Deficit
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Neurological Care Plans
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Migraines
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for West Nile Virus
Obstetrics (OB) & Pediatrics (Peds) Care Plans
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan for Endometriosis
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan for Newborn Reflexes
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Respiratory Care Plans
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Sepsis (Septic) & Shock Care Plans
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Infection
Musculoskeletal and Skeletal (Osteo) (Bones) Care Plans
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Gout / Gouty Arthritis
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan for Fractures
Nursing Care Plan for Amputation
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Osteomyelitis