Cues Nursing Diagnosis Desired Outcome Nursing Intervention Rationale Evaluation

Subjective: Decreased cardiac output related Short-term Objectives: Monitor vital signs -To determine if After an effective nursing
to decreased venous return After 4 hours of nursing especially the blood there are any intervention, the patient’s
intervention, the patient pressure changes or blood pressure is within the
remains normotensive improvement in normal range and can
throughout the patient’s condition. participate in some
Objective: remainder of the activities that could help
T:37.3 pregnancy. Observe the color of the -to determine if decrease her blood
PR: 77 bpm skin, capillary refill, there may be pressure.
RR: 19 br/min Long-term Objectives: moisture presence of
BP: 150/100 mmHg After 8 hours of nursing peripheral Goal is met.
-Edema intervention, the patient vasoconstriction
will participate in
activities that helps Provide frequent rest -prolonged bed rest
reduce blood pressure. periods with bed rest. can increase the risk
Restrict activity rather of complications due
than instituting complete to immobility
bed rest.

Provide calm and restful -help reduce

surroundings sympathetic
stimulation and
promotes relaxation

Instruct monitoring of BP -Rising blood

at home. pressure levels may
indicate worsening
preeclampsia.

Instruct the client to -Elevating the legs

elevate legs when sitting decreases venous
or lying down. stasis and may also
reduce the incidence
 of thrombus and
embolus formation
in the client on bed
rest.

Administer -Antihypertensive
antihypertensive drugs work directly
medications as ordered. on arterioles to
Observe for side effects promote relaxation
of antihypertensive of cardiovascular
drugs. smooth muscles and
help increase blood
supply to the
cerebrum, kidneys,
uterus, and placenta
 Cues Nursing Diagnosis Desired Outcome Nursing Intervention Rationale Evaluation

Subjective: Risk for altered Short-term Objectives: Educate the client and family -Eating very frequent small After an effective nursing
nutrition: less than After 45 minutes of members about the meals improves insulin intervention, the patient
body requirements nursing intervention, importance of regular meals function. The timing and verbalized the things that
the patient will be able and snacks (e.g., three meals content of meals and she learns and understand
Objective: to understand all about or four snacks) when taking snacks may require about gestational diabetes
T:37 the gestational diabetes insulin. adjustment to prevent and the patient as well
PR: 60 bts/min and what are the things early-morning demonstrates the
RR: 15 breaths/min she needs to avoid in hypoglycemia. improvement in her
BP: 110/90 mmHg order to prevent it. Educate the client on easy-to- -Writing a food journal and lifestyle
-decreased implement tools to make analyzing them together
respiratory rate Long-term Objectives: nutrition counseling more with the nurse or Goal is met.
-weak After nursing effective. healthcare provider help to
-pale intervention, the patient understand the effect of
will be able to improved different foods on glucose
her lifestyle levels, adjust the diet to
change the portion size of
carbohydrates in different
meals, and improve
glycemic control
Encourage the client to -Dietary fiber decreases
include fiber and reduce postprandial
saturated fats and cholesterol hyperglycemia and lowers
in her diet. insulin requirements.
Increased consumption of
saturated and total fats
could worsen insulin
requirements. During
pregnancy, adequate
protein intake is essential
to prevent the depletion of
maternal stores and
prevent muscle breakdown

Adjust diet or insulin regimen
to meet individual needs.
Refer to a dietician for an
individualized diet plan and
counsel dietary questions.
from supplying fetal needs
-Prenatal metabolic needs
change throughout the
trimesters, and adjustment
is determined by weight
gain and laboratory test
results. Typically, insulin
dosage may have to be
reduced to avoid
hypoglycemia in the first
trimester, when nausea
decreases appetite and
physical activity may be
reduced.
-A dietician can provide an
optimum nutrition plan for
the client.