ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

Subjective Cues: Imbalanced nutrition: Short Term Outcome Independent At the end of the
The patient verbalized Less than body nursing intervention,
“wala naman ako requirements related to After 30 minutes of 1. Assess the pre- 1. Provides the client is able to
binago sa pagkain ko, di knowledge deficit of nursing interventions pregnancy baseline data understand the
ko din naman alam mga appropriate foods to the client will be able weight and about the importance of proper
dapat kainin “ also eat during pregnancy. to: present weight client. diet. She also able to
patient verbalized that 1. Verbalize of the client. select the meals she
she always get tired understanding 2. Determine 2. To assess the wants to eat, which is a
easily whenever she do on the client’s usual food that good source of
something. importance of nutritional she eats even nutrients needed by her
proper diet. history, before the and the baby. The client
Objective Cues: 2. Enumerate including her pregnancy. is also able to maintain
Weak looking foods to be pre-pregnancy the expected weight
BP: 130/70 mmHg included in her diet. gain after the
Temp: 36.3 C diet. 3. Determine the 3. Psychological pregnancy.
PR:87 bpm client’s attitude factors towards
RR: 17 Long Term Outcome: towards eating. eating may
WT: from 81.8 kg to 75 affect one
kg After 1 day of nursing person’s
interventions, the client appetite and
will be able to: also to know
1. Demonstrate the client’s
changes in her eating habits.
diet as
manifested by Collaborative
proper food 1. Educate the 4. Education
selection client regarding provides sample
the importance information
of eating healthy that the client
foods during her may not be
pregnancy in aware of, hence
terms of leading to the
benefits to her kind of eating
body and habits and diet
especially to her she is following.
baby. 5. For the client to
2. Educate the be aware of the
client regarding needed
the vitamins and nutrients by her
 minerals that body to nourish
are important herself and her
during her baby
pregnancy, such throughout the
as vitamin C, pregnancy.
folic acid, iron, Also, giving
calcium and sources of these
protein; and the nutrients helps
sources of these the client to
nutrients easier
familiarize
herself as to
what food she
may include in
her diet.

3. Plan with the 6. To enhance

client her participation
desired meals. and
encouragement
4. Suggest ways to the client.
that may assist 7. To promote
the client in comfort and
eating relaxation to
a. Ensure the client.
pleasant
environment
b. Facilitate
proper time
in every
meals.