Family Health Nursing Problem : Unhealthful nutritional habits related to inadequate food intake both in quality and quantity
Client : Mother in 2nd trimester ( 6 months pregnant)
SCALE RANKING HEALTH CONDITIONS & PROBLEMS ACCORDING TO PRIORITIES
CRITERIA
Nature of the Problem
____ Wellness state or Potential
/ Health Threat
___ Health Deficit
___ Foreseeable crisis
Modifiability of the Problem
____ Easy modifiable
/__ Partially modifiable
____ Not modifiable
Factors to consider :
X__ Current knowledge, technology
& intervention
/__ Resources of the Family
/__ Resources of the Nurse
/__ Resources of the Community
Preventive Potential
____ High
/__ Moderate
____ Low
Factors to consider :
X__ 1.Gravity /severity of the
Problem
/__ 2. Duration of the Problem
X__ 3.Current management
/__ 4.Exposure of High risk group
COMPUTATION SCORES JUSTIFICATION
2/3 X 1 0.67 It is considered a health threat since
inadequate nutrition can affect the
health of the pregnant mother & the
fetus as well which may lead to the
development of any adverse health
conditions
The client has lack of knowledge of
½X2 1 inadequate food intake to her health
and the fetus, therefore, is not doing
any intervention to modify the existing
problem
The following factors are considered :
2/3 X 1 .66 1. There is no known
complications in pregnancy or
known effect to the fetus based
on medical diagnosis.
2. The nutritional pattern of the
mother has been existing since
her pre-pregnant state.
3. There is no intervention or
management being done by the
mother since she is not

Salience
X Condition/problem needing
immediate attention
X Condition/problem not
needing immediate attention
/ Not perceived as
problem/condition needing change
TOTAL SCORES
considering it as a problem .
according to her, she has the
same nutritional pattern since
her first pregnancy to her child
who is now 7 years of age.
* Refer to the data on -24 hour
diet recall & anthropometric
measurement(weight increase
from pre-pregnant to pregnant
state)
4. The existing may affect her
pregnancy and impending
delivery as well as the health
condition of the fetus/baby.
The client does not perceived this as a
0/2 X 1 0 problem since according to her she had
the same nutritional pattern during her
first pregnancy but still she had a
normal deliver.
 Refer to the data on -24 hour
diet recall & anthropometric
measurement(weight increase
from pre-pregnant to pregnant
state)
2.33

NOTE :
1..Modifiability - you may give a score of 2 when all the factors are present; a scores of  1 when 3 factors are present; a score of 0 when only 2 factors are present including the resources of the
nurse.
2. Preventive Potential - you may give a score of 3 (high)when the 3 the factors are absence  ( gravity, duration & exposure of the risk group )& 1 factor is present(current management ); a score
of 2 ( moderate) when 2 or 3 factors among the 4  are absence (gravity, duration ,exposure of the risk group, current management ):  a score of 1 when all the 3 factors (gravity,
duration ,exposure of the risk group are present and 1 factor (current management) is absent.

FAMILY NURSING CARE PLAN

Health Problem Family Health Problem Goal of Care Objectives of Care Nursing Intervention Method of Nurse- Family Resources Required
Contact
Unhealthful nutritional habits
related to inadequate food
intake both in quality and
quantity
Cues :
 Data on 24 hour diet
recall
 Anthropometric
measurement(weigh
t increase from pre-
pregnant to pregnant
state)
NOTE :Refer to the second After ____ days of After 30 minutes of
level assessment nursing intervention, the teaching session , the
pregnant mother is pregnant will be able to :
1. Inability to expected to apply 1. Identify the 1. Discuss the Home visit Materials
recognize the independently the importance of following : *flip chart/visual aids
presence of knowledge on daily dietary adequate nutrition a. Benefits of Interactive discussion * Drawing: Food pyramid
inadequate food requirements for pregnant both in quality & good nutrition for pregnant woman, Food
intake both in mother. quantity to to pregnancy Demonstration/return hand proportion
quality and pregnancy & to & growing demonstration * Books : Basic Nutrition
quantity due to : the fetus; fetus for Filipinos
1.1inadequate or 2. demonstrate food b. Nutrient
lack of knowledge preparation using requirement Manpower
on the importance food hand during
of good nutrition proportion based pregnancy and
for pregnancy & on the daily lactation
the fetus nutritional guide
1.2 ideal food pyramid for 2. Explain the daily
serving for Filipino pregnant nutritional guide
pregnancy woman ; pyramid for
1.3 requirement Filipino pregnant
on ideal body woman.
weight for 3. determine the 3. Discuss the dietary
pregnancy common nutrition intervention for
according to -related concerns common nutrition
trimester. in pregnancy & related concerns
dietary during pregnancy .
2. Inability to make intervention;
decisions with 4. Demonstrate the
respect to taking 4. recognize the food hand
appropriate health importance of proportion for
actions due to low adequate nutrition food preparation.
salience of the to pregnancy
problem. particularly to the
growing fetus.

TEACHING PLAN

Title : “ “ ( should be in Filipino/Tagalog if it will be implemented in the community)

Purpose: To provide the pregnant with the information on the Required Dietary Allowance ( RDA) for pregnant mother.
Goal: The pregnant mother is expected to apply independently the knowledge on daily dietary requirements for pregnant mother.
Objectives Content Outline Methods of Teaching Time Allotment Resources Methods of Evaluation
(Instructional Materials)
After 30 minutes of teaching
session , the pregnant will be Question and answer
able to : A. Importance of good Interactive discussion 5 minutes Written/pictorial flip chart
1. Identify the importance nutrition to:
of adequate nutrition 1.Pregnancy
both in quality & 2. Growing fetus
quantity to pregnancy B. Nutrient requirements
& to the fetus; during pregnancy & lactation
1. Energy
2. Protein
3. Fats
4. Vitamins
2. Demonstrate food A. Daily nutritional guide Interactive discussion 10 minutes Written/pictorial flip chart Question and answer
preparation using food for Filipino pregnant
hand proportion based women Demonstration
on the daily nutritional B. Food hand proportion
guide pyramid for ( serving) Demonstration
Filipino pregnant
woman

3. Determine the
common nutrition -
related concerns in
pregnancy & dietary
intervention
4. Express any concerns in
the application of RDA
for preparing her meal
during pregnancy.
A. Common nutrition - Interactive discussion 5 minutes Written/pictorial flip chart Question and answer
related concerns in
pregnancy & dietary
intervention
1. Nausea & vomiting
2. Heartburn
3. Constipation
4. Edema
5. Leg cramps
6. Rapid weight gain
or loss
A. Summarize common Interactive discussion 5 imutes White board Question and answer
concerns
B. Explore feelings
Prepared by :

(SGD)Dr. Cresencia M. Santos

Lecturer, CHN 1