EMILIO AGUINALDO COLLEGE

Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

SCHOOL OF NURSING

Situation: A pregnant woman comes in due to a lack of check-up. She is gravida 1 para 0. She
looks pale and underweight upon check-up, she verbalizes “Kailan ako manganganak, ano ang
dapat kong gawin?”. There is no complication found in pregnant women. Pregnant women lack
support.

Nursing Care Plan 1

Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective: Absence of Short Term Short Term
cognitive - Assess the - The nurse
“Kailan ako information After 30 minutes of patient's ability to should assess After the nursing
manganganak, related to nursing intervention comprehend and whether a intervention the
ano ang dapat pregnancy. the patient is expected apply knowledge. patient is client
kong gawin” as to participate in the physically and participated in
verbalized by the learning process. And mentally capable the learning
patient. increased the clients of process and
interest and assumed comprehending increased the
responsibility for her and patient's interest
Objective: own learning by implementing by beginning to
beginning to look for instructions look for more
- Pale information and ask provided for information and
- Underweight questions. them. voice out her
- Gravida 1 Para questions and
0 Long Term - Create a quiet - Teaching concerns.
-No complication learning should not be
After a month of environment. attempted in Long Term
nursing intervention certain
the patient can situations. If a After the
verbalize patient is in nursing
understanding of her pain, worried, intervention the
current condition as a upset, or tired patient can now
pregnant woman and then they are not verbalize
know the dos and in a state of understanding of
don'ts during those mind to retain her current
months until the baby information. The condition and
arrives.. nurse should know what the
wait until the dos and don'ts
patient can during those
concentrate on months until the
what is baby arrives.
presented to
them without THE GOAL IS
interruption. MET

VIRTUE SERVICE EXCELLENCE

 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

SCHOOL OF NURSING

- Don't overload - Too much

information at
once can be
confusing and
overwhelming.
Present small
chunks of
information over
time.

Nursing Care Plan No.2

Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective: Imbalanced Short term: - Short term:
nutrition: less - Assess vital signs Provide
“Kailan ako than body After 30 minutes of baseline data After the nursing
manganganak, requirements nursing intervention about the intervention. The
ano ang dapat related to the patient is client. patient was able to
kong gawin?”. As knowledge expected to determine
verbalized by the deficit of determine maternal - Determine clients - This provides maternal health/
patient. appropriate health/nutritional nutritional history information to nutritional status,
. foods to eat status, usual including her pre- assist in usual pregravid
during pregravid weight, Pregnancy diet. identifying weight, dietary
Objective: pregnancy. and dietary pattern. needs and pattern and
creating an reviewed
- Pale Review nutrition individual care nutritional
- Underweight requirements and plan of care. requirements.
- Gravida 1 para 0 optimal prenatal
- No complication weight gain to - Educate the client - To avoid Long term:
support regarding the inadequate
maternal-fetal importance of prenatal After the nursing
health. eating healthy weight that intervention, the
foods during the increases the patient promoted
Long term: pregnancy. risk of the importance of
intrauterine maternal
After 1 month of growth well-being,
nursing intervention retardation in including
the client must the end of the discussion of
promote the delivery of nutrition, regular
importance of low moderate exercise,

VIRTUE SERVICE EXCELLENCE

 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

SCHOOL OF NURSING

maternal well-being, birth-weight of comfort measures,

including discussion the weight rest, and breast
of nutrition, regular gain of the care and
moderate exercise, infant. understanding the
comfort measures, care requirements.
rest and breast care. - Encourage the - This provides
And verbalize client to maintain information to THE GOAL IS
understanding of the intake of food assist MET
care requirements to that is needed by identifying
promote health of her body needs and
self and infant. throughout the creating an
pregnancy. individual
nursing care
plan.

Collaborative:

- Refer to a dietitian - Experts like

for a complete a dietician can
nutrition determine
assessment and nitrogen
methods for balance as a
nutritional support. measure of the
patient’s
nutritional
status. A
negative
nitrogen
balance may
mean protein
malnutrition.
The dietician
can also
determine the
patient’s daily
requirements
of specific
nutrients to
promote
sufficient
nutritional
intake.

VIRTUE SERVICE EXCELLENCE

 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

SCHOOL OF NURSING

Nursing Care Plan No.3

Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective: Risk for Short term: Short term
ineffective - Assess the vital - To ensure a
“Kailan ako childbearing After 30 minutes signs normal body After the
manganganak, ano ang process as of nursing situation. nursing
dapat kong gawin” as evidenced by intervention the intervention
verbalized by the inadequate patient is - Determine - To determine the patient
patient. maternal expected to maternal if the mother recognizes the
nutrition acknowledge and health/nutritional has an risk factors that
Objective: address individual status. underlying may affect her
risk factors. condition that childbearing
- Pale Engage in might affect and the patient
- Underweight activities to the fetus. takes part in
- Gravida 1 para 0 prepare for the activities for
- No complication birth process and - Evaluate - To provide the birth
newborn care. knowledge necessary process and
regarding information care of the
Long term: pregnancy. that will assist newborn.
. the needs of
After 1 month of the mother and Long term
nursing her child.
intervention the After the
patient is nursing
expected to intervention
Verbalize the client
understanding of understands
care requirements the care
to promote health requirements
of self and infant to promote
health for her
and the infant.

THE GOAL
IS MET

VIRTUE SERVICE EXCELLENCE