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College of Allied Health Sciences

School of Nursing
NURSING
ASSESSMENT NURSING DIAGNOSIS PLANNING RATIONALE EVALUATION
INTERVENTIONS
1. Work with a dietitian to
Subjective Data:  Knowledge deficit Short Term Goals: develop a suitable 1. Monitoring weight  Regularly assess the
about pregnancy meal plan that meets gain helps identify woman's weight gain
“wala naman akong and childbirth After a patient-nursing the woman's nutritional any potential issues and nutritional
nararamdaman na masama intervention, the normal needs during such as inadequate status.
sa pagbubuntis ko pregnant woman must know pregnancy. nutrition or  Monitor fetal growth
nakakatulog ako ng 8-10 her vital signs. Informed of 2. Use ultrasound and excessive weight and development
oras at nakakain din ako ng her pre-natal condition and fundal height gain. through prenatal
mga prutas at gulay, health documentation. measurements to 2. Regular prenatal visits and
madalang lang ang pagkain visits and
monitor the baby's ultrasounds.
ng karne” as verbalize by the
growth and position. ultrasounds helps  Evaluate the
patient.
3. Create a supportive identify any potential woman's emotional
Long-Term Goals: and non-judgmental issues. well-being and
Objective Data:
environment for the 3. Educating the ensure she has
1. Encourage a woman to express her woman about access to adequate
UERM OPD = Normal
balanced diet, feelings and concerns. prenatal care and support.
7 days PTC urinalysis =
Normal regular exercise, and 4. Offer classes or childbirth is vital to  Assess the woman's
Blood typing = Normal adequate rest to resources on ensure she makes understanding of
CBC = Normal support the woman's pregnancy, childbirth, informed decisions prenatal care and
well-being. and postpartum care. about her health and childbirth through
T: 36.5 2. Provide information her baby's health. discussions and
P: 90 on prenatal care, questions.
R: 19 signs of labor,
BP:100/70 coping techniques
during labor, and
postpartum care.

Name:________Lacandoze, Joshua N.____ Section: ____BSN 2-7__________________ Date: ______July 19, 2023_________________

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