- Blood pressure slightly decreased

- Corpus luteum fading - Progressive cartilage softening

ANXIETY Acceptance Task:
moving through emotions - Placenta producing estrogen and - Lordosis increasing
ASSOCIATED WITH
such as narcissim and progesterone, steady increased growth of - Progressively increasing pigmentation
THE PARENT ROLE
introversion the uterus - Slowed peristalsis
- Softening of the cervix increases

CONSTIPATION
ASSOCIATED WITH
SLOW PERISTALSIS - Talk to your health care professional about how much weight
you should gain during your pregnancy and track your
progress. Ensure to inform the patient that gaining weight is
ACUTE PAIN normal during pregnancy.
PSYCHOLOGICAL PHYSIOLOGICAL
ASSOCIATED WITH - When presence of quickening, advice mothers when at home
MUSCULOSKELETAL use the method of counting to 10 for the woman to count fetal
PROBLEM movements at the same time each day. If the woman notices
fewer movements in a 2 to 3-hour period, she should contact
a physician or go to the hospital.
CHANGES
DISTURBANCE IN PSYCHOLOGICAL - Correctly educate the partner to avoid misinformation about
BODY IMAGE pregnancy. Let them read the pamphlets supplied by your
ASSOCIATED WITH prenatal healthcare setting so that they would understand the
INCREASE IN SKIN SECOND concept of pregnancy.
PIGMENTATION NURSING
TRIMESTER IOF NURSING CARE
DIAGNOSIS PREGNANCY

EXPECTED Blood Pressure

OUTCOMES - Advise patients to take vital signs, especially blood pressure
PHYSIOLOGICAL
and pulse rate, to monitor the condition of the mother.
- Inform the mother that it is normal for her blood pressure to
slightly decrease as her circulatory system is expanding
DISTURBANCE IN ACUTE PAIN quickly to accomodate the needs of her baby.
BODY IMAGE ANXIETY ASSOCIATED CONSTIPATION
ASSOCIATED WITH Slowed peristalsis
ASSOCIATED WITH WITH THE PARENT ASSOCIATED WITH
MUSCULOSKELETAL - Encourage the patient to take in fluid 2000 to 3000 mL/day, if
INCREASE IN SKIN ROLE SLOW PERISTALSIS
PROBLEM not contraindicated medically. It increased hydration
PIGMENTATION
promotes a softer fecal mass.
- Advise patient to take at least 20 g of dietary fiber (e.g., raw
fruits, fresh vegetable, whole grains) per day.
- Advice the woman to avoid food that is gas-forming to
- The patient demonstrates the use of - Patient identifies effective coping strategies in dealing prevent excessive intestinal gas.
- Patient will be able to verbalize - Patient states relief from discomfort of constipation.
appropriate diversional activities and with anxiety associated with the parent role. Backache (Lordosis) - Instruct the woman to:
feelings of increased self-esteem. - Patient has increased fluid intake and produces stool
relaxation skills. - Patient identifies the proper ways on how to take care - Maintain correct posture, with head up and shoulders back.
- Verbalize an understanding of body every other day.
- Patient displays improvement in of the newborn baby and be an ideal parent. - Wear low-heeled shoes with good arch support.
changes. - Patient identifies proper ways to prevent the
mood,coping. - The patient's anxiety is minimized as evidenced by - Use good body mechanics when lifting objects.
- Patient will maintain optimal occurrence of constipation and other complications.
- Reported pain is relieved or expressing positive feelings about the birth, her role,
nutrition/physical well-being. - When sitting, use foot supports and pillow behind the back.
controlled. and the newborn. - Patient consumes adequate amounts of fluids and
- Recommend pelvic tilt or rocking exercise to strengthen the
high-fiber foods.
back.
- Patient identifies methods to treat constipation.
- Use a warm compress when there is a discomfort in the back
area.
- Patient identifies the measures that promote a Progressively increasing pigmentation:
healthy personal adjustment. - Inform the woman that the pigmentations present are normal
- Patient is able to adjust and accept her new role as a and these pigmentations will just decrease after how many
parent. days or months.
- Patient describes any concerns about her new role - Recommend sunscreen to protect the skin from the rays of
and receives appropriate information or assurance.
the sun. Stay out of the sun when the rays are strongest.
- Patient states she is able to achieve and maintain a
healthy lifestyle throughout the whole second - Advice foods that contain folic acid for it helps prevent more
trimester of pregnancy. pigmentation.