Nursing 209

N209: Reproductive Health Study Guide

2.3 The Nursing Process Assessment • Gather and organize patient information from history and assessment (risk behaviors, use of birth control, history of STDs or infertility, diagnostic testing, family and genetic factors, cultural and religious influences, and partner’s health history). Analysis/Diagnosis • Identify actual or potential problems related to health history and assessment (deficient knowledge or anxiety). Plan • Determine expected outcomes with the patient and family (or partner) and all teammembers to formulate the plan of care to achieve goals. • Establish expected outcomes based on needs related to health promotion, maintenance, and restoration. • Provide rationale for interventions based on standards of care, ethical and legal implications, and evidence-based practice regarding risk behaviors, health maintenance, and prevention. Implementation • Initiate a plan of care to move toward patient-centered goals. • Provide education to the patient and partner to reach reproductive goals regarding nutrition, lifestyle, infections, and medications. Evaluation • Revise plan of care as needed based on reassessment of patient after initiation of nursing interventions. Nursing Diagnosis Pertinent to Preconception: • Deficient knowledge related to risk behaviors, including conception and preconception nutrition • Anxiety related to infertility • Risk for situational low self-esteem related to infertility • Risk for infection related to infertility treatment

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