OB Care Plan

Do this based off information from the paper. if its not on there make it up with reasonable and valid information correlation to the mom. Careplan is only on mom not baby. Below is the rubric.

Care Plan Rubric:

I. Assessment 32 points

1. Gathers data to include health assessment (4)

2. Pathophysiology/Psychopathology described and source/reference

stated using APA format (no dictionary definitions) (4)

3. Past health history and social determinants of health (4)

4. History of present illness (4)

5. Current lab data and explanation of values: rationale for the values. (4)

6. Diagnostic Data (4)

7. Medications: (brand/generic/classification) & rationale and references (4)

8. Genogram (4)

Total 32 pts

II. Nursing Diagnosis 12 points

1. Prioritized NANDA diagnosis and rationale (4) 2. Significant subjective & objective data & rationale (4)

3. Nursing Theorist related to care (4)

Total 12 pts

III. Planning 16 points

1. Short and long term achievable, expected outcomes (4)

2. Expected outcomes are measurable and time limited (4)

3. Expected outcomes are patient centered (4)

4. Expected outcomes flow from the Nursing Diagnosis (4)

Total 16 pts

IV. Interventions/Implementation 16 points

1. Nursing interventions state action, frequency and person who is going to carry these out (4)

2. Enable achievement of the expected outcomes (4)

3. Patients cultural, developmental and psychosocial status is considered in nursing interventions (4)

4. Rationale for actions stated and referenced (APA) (4)

Total 16 pts

V. Evaluation 8 points

1. States whether expected outcomes are met or not (4)

2. Discharge Plan/Patient Teaching (4)

Total 8 pts

Transfer Scores to Clinical Evaluation Form for Midterm (Care plan 1) THEN Final (Care plan 2)

Outstanding

Meets

Mostly Meets

Minimally Meets

Does Not Meet Expectations

4

3

2

1

0

Total 84 points

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