Elimination Pattern

During pregnancy, Mrs. X is at 41 weeks of gestation wherein an increase in urine output

is found due to an increase in the level of hormones that causes her to have frequent
urination. Her urine is usually pale yellow to bright yellow. The client stated that she was
not having a hard time urinating nor defecating as she always drinks at least 2.5 liters of
water daily where she can produce 600 mL of urine every day. On the other hand, the
patient’s stool has the consistency of mashed potato, soft to firm in texture, light to dark
brown, and has a strong smell. In a day, she urinates at least six times and defecates once.
Henceforth, the patient mentioned that she never used suppositories, supplements, or
other medications associated with constipation or diarrhea.

After delivery, the elimination pattern of the patient is within normal in which
the urine and bowel movements of Mrs. X are affected in which she was experiencing
mild pain when flushing urine and discomfort while defecating her stool. Therefore, the
patient inserted a catheter into her urinary tract for helping her to establish normal
elimination of urine. Henceforth, the patient was having a soft diet and she maintained
adequate food intake which can help to soften her stool and reduce the mild pain that she
experienced while defecating.
Activity – Exercise Pattern

Before the birth of her baby, Mrs. X mentioned that she had enough energy to fulfill
household duties and exercise every morning by walking around their home premises.
However, she spends her leisure time doing yoga, watching TV shows, cooking, and
reading books with her husband. Aside from household duties, the patient loves to plant
on their balcony where she feels relaxed. Henceforth, the patient's functioning level is
dependent, but she’s still able to feed, bathe, and dress on her own. On the other hand,
she verbalized being irritable due to her late-term pregnancy, resulting in performing
limited activities such as household chores and yoga. She also reported that aside from
being irritable, she somewhat felt her abdomen tightening with painless contractions
considered Braxton hicks contractions, making Mrs. X uncomfortable and dependent on
her husband. Now that she already delivered her baby the level of function of Mrs. X is
still dependent on which she necessary needs assistance from a person because her body
was not fully recovered from giving birth. Despite being dependent she is still able to
feed and dress but she needs help in bathing, toileting, and walking. The patient-level of
movement is different than usual because she needs to limit her activities to avoid
increasing the pain in the vulvar area, where a catheter has been placed.
 Sleep – Rest Pattern

During the patient's admission to the obstetric ward, Mrs. X has a regular sleep pattern,

indicating that she received appropriate rest during this period. The patient stated that she

experiences dreams when sleeping but not nightmares. However, the patient does not take a nap

during the afternoon due to the extreme heat. For her rest-relaxation period, she loves to listen to

the sound of the bird and wind in their mini garden, where she appears relaxed in the evening but

sometimes gets distracted by the loud noise of the car in their area. Henceforth, she never used

any sleeping aids or sedatives to help her sleep and rest. On the other hand, after delivery, the

sleep pattern of Mrs. X has been disrupted due to the fact that she needs to be more aware and

knowledgeable enough in taking responsibility as a new mother for her newborn child most

especially at night when her baby may cry due to hunger, in which she is under pressure and

adjustment phase that causes her to not get a proper hour of sleep.