You can find NANDA approved diagnoses online at: https://www.deanza.edu/faculty/hrycykcatherine/NANDA_2015-2017_list__November_2014.pdf. Is the diagnosis problem, risk, or health promotion focused? Take a look at http://kb.nanda.org/article/AA-00492/0/How-do-I-write-a-diagnostic-statement-for-risk-problem-focused-and-health-promotion-diagnoses.html.
Care plan expectations: OB
No less than THREE no more than five diagnoses. Make sure you are putting the diagnoses in proper order. Think about this, if you want to use risk diagnosis then why are they hospitalized?
Each diagnosis needs two measurable and obtainable goals One long-term and one short-term goal. Each goal must be measurable and obtainable.
Each Goal needs at least three interventions. EACH long term and short term goal needs three interventions. As a nurse how would you attain these goals you have set.
Next, you have your nursing rationales why did you do the interventions. Where is the evidence to support what you are doing? This is where you will reference using APA format and in-text citations to cite your references. Use at least one refernce (Use your text book for one).
Finally, evaluation you will say whether the goal was met or not met. If not met how/what could you do differently to make an obtainable goal.
APA format is easily located from Googling Purdue Owl or simply typing in your search engine APA reference format.