The mother of two is at risk for a complicated pregnancy due to a history of two previous cesarean sections and other health factors. The goal is for her to understand the risks and properly manage her pregnancy through regular prenatal visits, improved nutrition, activity, rest, and stress reduction. Over weekly home nursing visits, the objectives are for her to gain knowledge about cesarean risks, decide on a hospital birth, and encourage healthy behaviors with her husband's support.
The mother of two is at risk for a complicated pregnancy due to a history of two previous cesarean sections and other health factors. The goal is for her to understand the risks and properly manage her pregnancy through regular prenatal visits, improved nutrition, activity, rest, and stress reduction. Over weekly home nursing visits, the objectives are for her to gain knowledge about cesarean risks, decide on a hospital birth, and encourage healthy behaviors with her husband's support.
The mother of two is at risk for a complicated pregnancy due to a history of two previous cesarean sections and other health factors. The goal is for her to understand the risks and properly manage her pregnancy through regular prenatal visits, improved nutrition, activity, rest, and stress reduction. Over weekly home nursing visits, the objectives are for her to gain knowledge about cesarean risks, decide on a hospital birth, and encourage healthy behaviors with her husband's support.
CUES GOAL OF CARE Resources PROBLEMS OF CARE Nursing Interventions Nurse-Family Required Contact A 27-year old mother of 2 at 6 Possible complicated/ After SNs’ After nursing intervention, 1. Broaden the Home visits Material weeks AOG, (G3P2- 320020) high-risk pregnancy home visits (1 the mother will: knowledge of the resources: with a hx of 2 CS deliveries, ht. - Inability to recognize week), the a. Ensure that she will family on Visual aids, VS 4’10” (147 cm), wt. 142 lbs presence of potential mother will have a regular complications of and PE (64.5 kg). complications of her verbalize prenatal check-up at pregnancy, equipment. pregnancy and possible understanding the center/ clinic. especially of an She verbalized, “baka cesarean repeat cesarean due to of the b. Implement agreed- impending repeat Time and uli ako, kasi sabi ni dok, maliit lack of knowledge necessary upon health actions cesarean delivery effort of the daw yung sipit-sipitan ko, a. Lack of knowledge measures to in the areas of (3rd CS operation) SNs and the cesarean din yung 2 kong on the nature and prevent or laboratory work-up, a.Discuss the mother unang anak… nasa lahi yata management of her properly nutrition/diet, implications of namin.” health condition managed physical activity, rest previous CS Transportation b. Lack of knowledge possible and sleep, and operations on expenses, and She professed no knowledge on the nature and complications general hygiene. current pregnancy, food of the about the risks/complications extent of nursing of her c. Decide on a hospital and occurrence of SNs and the to her and her child of a repeat care she needs pregnancy delivery signs and mother. cesarean (especially now that d. Explore the couple’s symptoms as they she’s on her third possible CS). - Stress-provoking factors ways of encouraging will be presented including: growth-promoting by Ms. R.G. She has irregular menstruation a. Strained marital activities, relationship b.Discuss the cycle, got pregnant at age 19. relationship problems, issues and consequence of She said that current b. Interpersonal concerns. failure to take pregnancy is unplanned. She relationship with e. Be encouraged appropriate actions used contraceptives before her family-in-laws. together with his 2. Discuss with the based on a friend’s advice but husband to be mother the courses haven’t ever consulted a - Unhealthy nutrition, referred to a marital of action open to doctor to discuss about family lifestyle, and personal relationship her, and the planning or her reproductive habits/practices counselor. consequences of health issues. She stopped a. Imbalanced the their health using the pills as she believes nutrition actions on her, her that she doesn’t need them b. Smoking history and baby and her family saying “di naman ako madaing passive smoking mabuntis.” c. Occasional drinking d. Sedentary lifestyle Although she is currently not e. Lack of quality/ smoking, the mother reported adequate sleep that she was smoking prior to learning about her pregnancy (Smoking hx of X sticks/day for X years. She is also exposed to 2nd-hand cigarette smoke due to her husband who smokes >1 pack/day for X years.
Last laboratory test was
undertaken 4 years ago. She claims that she feels okay, and doesn’t seem bothered by her possible third cesarean delivery.
She loves to eat meat viands
such as adobo, nilaga, sinigang, but rarely prepares vegetables nor eats fruits except for banana. She likes drinking soda with meals. She also is not used to doing physical exercise, and admits to not having enough quality sleep.
She expressed concerns about
husband’s infidelity issues, and has gotten involved in fights with him that sometimes lead to physical violence. She admits that her greatest stressor right now is her husband and misunderstanding with family-in-laws.