NCP for CEPHALOPELVIC DISPROPORTION

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Acute pain related to After 1 hr of nursing  Assess pain,  Provides After 1 hr of nursing
“Sobrang sakit kada effects of interventions, the noting information interventions, the
hihilab ang tiyan ko”, as dysfunctional labor patient’s pain will be location, to aid in patient’s pain was
verbalized by the and delivery process relieved or intensity determining relieved or
patient. controlled. (scale of 0 - choice or controlled as
10), duration. effectiveness reported by the
OBJECTIVE: of patient.
interventions.
 Restlessness
 Pain scale of 9  Provide  Promotes
out of 10 comfort relaxation,
 Limited measure like refocuses
movement back rub, attention,
 Sighing helping and may
 Facial grimace position of enhance
comfort. coping
Suggest use of abilities.
relaxation
technique and
deep
breathing
exercises.

 Vitals q4hrs or  Baseline data

as ordered by
doctor.

 Monitor both  Baseline data

contractions
and fetus
 continuously.

 Position  Sitting or
mother in squatting
ways to increases the
increase the outlet
pelvic diameters
diameters. and may aid
in fetal
descent.
 Encourage  To avoid fetal
patient to distress.
take cleansing
breaths in-
between
contractions
to promote
adequate
oxygen
exchange for
her and baby.

 Monitor fetus  To avoid

for signs of complications
hypoxia take .
appropriate
actions if
necessary.
Monitor
mother and
fetus for any
signs of
distress.