Question

1. om 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 ACTUAL AND 2 POTENTIAL (please) 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

MULTIGRAVIDA- a person who is pregnant for 2nd time

2 ACTUAL PROBLEM

1. ANEMIA EVEDENCE BY PALE

2. Knowledge deficit

2 potential problem

1. Low birth weight baby

2. Miscarriage

3. post partum heamorrage

ASSESSMENT	DIAGNOSIS	PLANNING (goal)	INTERVENTION	RATIONALE	EVALAUTION (outcomes)
SUBJECTIVE DATA- client having complaining of loss of apetite OBJECTIVE DATA- client looks pale and weak 2-SUBJECTIVE DATA- patient is afraid to eat due to cs delivery of weight gain OBJECTIVE DATA- she is having loss of apetite due fear. (information misinterpretation )	Imbalance nutrition less than body requirement Knowledge deficit related to diet and myths related to pregnancy	-After health education client understand the importance of nutrition -to record the food intake -to suggest the balanced diet - to weight periodically - to advice her come to for follow up -to advice for small frequent meal. - to provide her apetite increasing supplements -to educate the client about importance of food for growth of baby and herself - to tell about the possible complication -to clear her myth about CS delivery -to educate the food should be avoided or limited -to assess the resources like financial and ability to obtain food. -to imphasize the importance of reporting sign -to encourage her come for follow up	- elaborative health education was provided to the client about importance of nutrition - record client food intake -balanced diet include fruits and veggies , roughage. - weighing the client periodically - client advice come for follow. - small frequent every 2 hourly - replacement supplements was provided. - client was educated about the importance of essential nutrition for the growth of baby. - client was educated about the complication like low birth weight , anemia , early delivery etc. -client was educated about the limitation of coffee intake , or calcium product with iron supplements. - assessment of financial resources was done. - client was taught about reporting sign like dizziness , fatigue , bleeding etc. - she was encourage to come for follow up	- help for clearing doubts regarding nutrition - monitoring of calories intake - balanced diet help client to increased apetite -monitoring of weight loss and effectiveness of interventions - small freuquent meal doesn’t cause abdominal distenstion - replacement supplement help the client to achieve the planning golals -it help to clear her myths - knowledge will help her to decrease her fear - these food block the absorption of iron. -inadequate resources may affect the client purchasing and preparation of food. -reporting sigh indicate to help for taking possible measures. - follow help to see adherence to regimen	Patient apetite is improved as evidence by weight gain. Initiated the necessary behavioural and lifestyle changes.

SCIENTIFIC RATIONALE - these rationale are the reason behind of specifi intervention

for prevention potential problem effective and deep health education , with continous evaluation of intervention is very neccessary. preparing of mother psychologically is very beneficil. assessing her lifestlye and advice according to her , like taking break for prolong standing , take frequent meal, keep handy food in bag , do timly check for prevention potential problem, educating about the warning signs and birth prepardness.