ASSESSMENT DIAGNOSIS BACKGROUND PLANNING INTERVENTION RATIONALE EVALUATION

S:
“Hindi parin ako Altered Vaginal Birth After 8 hours of • Render • Appropriate
maka ihi simula nung urinary nursing nursing measures will After 8 hours of
nanganak ako” elimination Edema interventions, the measures helpful in be nursing
related to ↓ patient will be initiating voiding of implemented interventions the
perineal Fetal head pressure able to attempt The patient. to initiate Patient was able to
edema and on the bladder common voiding. void.
decreased measures to
O: bladder ↓ initiate voiding.
• looks tone from • Helps to
weak fetal head Lost of tone of the • Discuss the initiate bladder
• febrile pressure bladder importance of reflex.
• 4 hour post during birth. continuing to
partum ↓ drink.
• Retention of
Decreased • Discuss urine
Voiding ability importance of predisposes to
emptying infection.
bladder.

• Instruct • Kegel
patient to exercises help
do Kegel strengthen
exercises once perineal
voiding pattern is muscle.
reestablished.
Mark Joseph M. Garcia

Group 3B