Question

Nursing care plan.

Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications.

Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared.

a. Develop 3 NANDA Priority Nursing Diagnosis.

b. State Patient Goals/Plan Nursing Diagnosis.

c. Write Interventions for Your Plan.

d. Scientific Rationale for Interventions.

e. Write How You Would Evaluate Your Plan.

f. List of Medications Typical for the Medical Dosage; side effects.

   Educational Consideration.

Answer 1

ANSWER :

a. 3 NANDA NURSING DIAGNOSIS :

1.) Altered nutritional pattern less than body requirements related to inability to digest food/ diet as evidenced by decreased weight

2.) Anxiety related to fetal death es evidenced by increased tension.

3.) Knowledge deficit related to lack of information as evidenced by requesting for information regarding resent health status.

b. PATIENT GOALS :

1.) To improve nutritional status and maintain normal body weight.

2.) To reduce anxiety by providing diversional and motivational therapies.

3.) To improve knowledge by giving sufficient information, involving family members and relatives.

c. INTERVENTIONS :

1.) * Maintain nutritive dietary plan according to the months of mother

* Check weight daily

* Educate about importance weight management during pregnancy, by providing materials of study.

2.) *Provide emotional and spiritual support

* Encourage patient to cope up strategies

* Continuous monitoring of stress levels

* Assess vital signs of the patient

3.) * Provide clear information on ongoing procedures

* Assess for danger signals during risk pregnancy

* Assess for uterine contractions per day

* Encourage for stress management therapies.