Question

1. From a hypothetical case scenario:

A multigrada patient (G2P1, 26 weeks AOG came in for check-up.

This is her 3^rd visit since her pregnancy started. Her ultrasound revealed multi fetal gestation. She is a laundry woman and her husband is a carpenter. She is pale looking and is observed to be weak. She claimed that she has recently lost appetite because she is afraid to eat a lot because it might lead to a possible CS delivery.

2. Identify at least 2 POTENTIAL problems affecting the client and her baby
3. Prepare an NCP following the format:

3.1. Subjective/objective data

3.2. Nursing Diagnosis

3.3 Rationale (should indicate book sources or references)

3.4 Goals/ objectives

3.5 Nursing interventions

3.6. Scientific rationale for the interventions

3.7. Evaluation criteria

Answer 1

1. Imbalanced nutrition less than body requirement related to insufficient intake of food due to fear of cs delivery .

Subjective data_i don't have appetite while thinking of ceaserian section deliveryas verbalised by the patient.

Objective data-patient seems pallor and weaK

Rationale -reduce anxiety to a manageablelevel and improved her health to a normal level .

Objective - maintainace of patientsand her gestational baby's safe by relieving her anxiety and improved nutrition in her diet therby improved her health.

Planning -give health education regarding antenatal requirement of nutrition for health

.,explain about seriousness regarding nutrional requirement for mother and baby's safety .

Relieve her anxiety regarding delivery .

Scientific rationale -a.provide psychological support ,and to reduce fatigue

Minimise anxiety

To promote health

Evaluation -patient will be able to take food  

2.Anxiety related to hospitalization and delivery process

Subjective data -client verbalised concern about upcoming delivery especially CS and express worried about that.

Objective data-facial tension observed, impaired attention noted

Rationale - within our care patient will acknowledge and discussfears recognizing healthy Vs unhealthy fears.

Planning - health education should give about value of child birth and life of a baby., explanation to patient regarding hospitalization and delivery process  

Instructions should give about diet and medicines

Interventions -health education about delivery relieve anxiety to a great extend. Explanation regarding value of baby will ease out tension.

Proper intake of diet and medicine help to improve health .

Evaluation - patient anxiety relieved by assessment.