Question

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. Write an NCP regarding Risk for miscarriage
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

NCP in Anxiety Regarding risk for Miscarriage

Assessment	Diagnosis	Planning	Intervention	Rationale	Evaluation
Subjective: “I am afraid to eat a lot because it might lead to a possible CS delivery” as verbalized by the patient. Objective: “Restless Narrowed focus voice Quivering, Hand tremors, facial flushing, sweating.	Anxiety regarding risk for miscarriage as evidenced by increased tension.	Long term goal: After series of nursing intervention the patient anxiety will be eliminated. Short term goal: After 10-30 min of nursing intervention the client will able to know techniques on how to lessen the anxiety such as deep breathing exercise and verbalization.	Assess patient level of anxiety. -Monitor vital signs. Acknowledge awareness of patient anxiety. -Instruct to do deep breathing. -provide accurate information about her present condition.	Different level of anxiety will affect the coping mechanism of the client. -To identify physical responses with both medical and emotional conditions. Acknowledgement of the patient‘s feelings validate the patient feelings and communicate acceptance of those feelings. -This may help the client to relax. -Helps the client to identify what is reality based.	After 4 hours of nursing intervention, patient has relaxed and anxiety reduced as evidenced by voice Quivering, Hand tremors, sweating and verbalization.