Report discomfort minimized/controlled.
Seek medical attention appropriately.
appropriateness of interventions.
problems. (Refer to CP: Second Trimester;
The primigravida usually does not experience this
discomfort until the last trimester, when
progesterone\u2019s protective effect on uterine activity is
decreasing and oxytocin levels are increasing.
of a healthy boy.
CP: First Trimester; NDs: [Discomfort]; Constipation,
information. Of greatest concern for the couple in this
trimester is how to prepare physiologically and
psychologically for the event of labor/delivery and
issues surrounding infant care. Note: For various
reasons (e.g., financial, cultural) clients may delay
seeking care until pregnancy is well advanced or
delivery is imminent, creating a challenge for
healthcare providers to provide meaningful
education in a timely fashion.
Understanding the normalcy of such changes can
physiological changes associated with third trimester. reduce anxiety and foster adoption of self-care
(Refer to ND: Self Esteem, risk for situational low.)
Helps client to recognize onset of labor, to ensure
labor onset; distinguish between false and true labor. timely arrival, and to cope with labor/delivery
Discuss when to notify healthcare provider and when process.
to leave for hospital/birth center. Discuss stages of
individual needs. Note: Some cultures or personal values may limit male involvement in the delivery process, necessitating the identification of other support person(s).
supplies; helps prepare for breastfeeding and/or
bottle feeding. Lack of preparation may be culturally
linked, indicating belief that preparation may be
associated with increased risk of infant\u2019s death
because they are \u201cdefying God\u2019s will.\u201d
Interrupted sleep, awakening earlier/later than desired, difficulty in falling asleep, not feeling well rested, dark circles under eyes
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