[Verified Answer]: NANDA nursing care plan for Jessica is a…

NANDA nursing care plan for Jessica is a 34-year-old, G 5 P-2-1-2-3, who has just delivered a 9-pound baby boy. She had severe pre-eclampsia and was placed on magnesium sulfate during her labor. Her labor was also augmented with oxytocin. Her spontaneous delivery was over a median episiotomy that extended to a 3o laceration with delivery of the baby’s shoulders. Her placenta was delivered spontaneously 5 minutes after the baby was born. There is an IV running of 5% Dextrose and water with 20 units of Oxytocin running at 125 mL per hour. The nurse caring for her is making the initial assessment, 5 minutes after completion of the suturing of the episiotomy. What items will the nurse assess? Components of each it?