NCP:

CUES/ NURSING BACKGROUND NURSING INTERVENTIONS

GOALS AND OBJECTIVES EVALUATION
ASSESSMENT DIAGNOSIS KNOWLEDGE AND RATIONALE
SUBJECTIVE: Deficient Teenage pregnancy is a NOC: NIC: Health Education
knowledge related global concern that
OBJECTIVE: to Lack of prenatal impacts the physical, GOAL:
education and social, and emotional
information health of the mother The patient will be able to:
and the developing
fetus. Teenage
pregnancy is most
common among During the health care, the nurse: After the implementation of
adolescents aged 15-19 nursing interventions, the
years, and it’s often a OBJECTIVES: patient was able to:
result of inadequate
education and access to After 2 hours of rendering 1.1 Established rapport with
resources such as nursing interventions, the patient the patient. Building a positive 1.
contraception. will be able to: and supportive relationship with
the patient is essential for
Due to a lack of effective communication and
knowledge related to trust, which can help the patient
proper prenatal care feel more comfortable discussing
and a healthy lifestyle, sensitive or personal topics
teenage mothers are at related to their pregnancy and
higher risk of childbirth.
pregnancy-related
complications such as 1.2 Assessed the patient's
preterm birth, low birth current knowledge about
weight, and maternal pregnancy and childbirth. Ask
mortality. For instance, the patient about her concerns,
teenage mothers are at fears, and doubts regarding her
a higher risk of pregnancy. Providing
developing gestational information on the common
hypertension and pre- physical changes associated with
eclampsia, which can pregnancy can help the patient
lead to maternal and fetal
morbidity and mortality.
Given the importance of
proper prenatal care and
the impact that teenage 2. Describe at least one strategy
pregnancy has on for managing nausea and
adolescent mothers, it’s vomiting during pregnancy.
essential to provide - The patient will be able to
effective interventions identify at least two common
and health education for discomforts during pregnancy and
teenage mothers. explain what causes them.
- The patient will be able to
identify warning signs that
require medical attention, such as
severe dehydration or persistent
abdominal pain.
anticipate and prepare for
potential discomforts and
challenges.
2.2. Educated the patient 2.
regarding the different
physiologic
changes that may occur during
pregnancy including:
 Nausea and vomiting,
 Heartburn
 Fatigue and etc.
Providing information on the
common physical changes
associated with pregnancy can
help the patient anticipate and
prepare for potential discomforts
and challenges.
2.3 Provided strategies for
managing common pregnancy
symptoms. For example, for
nausea and vomiting, suggest
eating small, frequent meals
and avoiding strong smells or
flavors. For heartburn,
recommend eating smaller
meals and avoiding spicy or
fatty foods. Giving the patient
practical tips for managing
common symptoms can help them
feel more in control of their
health and wellbeing during
pregnancy.
2.4 Encouraged the patient to
discuss any persistent
symptoms with her healthcare
provider, who can suggest
additional remedies or
medication if needed.
Emphasizing the importance of
communicating with a healthcare
provider can help the patient feel
supported and empowered to seek
help if needed.

2.5 Explained the stages of fetal

development and provided a
timeline of what changes the
patient can expect during each
trimester. For example, during
the first trimester, the fertilized
egg implants in the uterus and
begins to form the placenta,
while during the second
trimester, the fetus grows and
develops more distinct features,
such as limbs and facial
features. Providing information
on fetal development and testing
can help the patient feel more
connected to their baby and
informed about their care
options.

2.6 Discuss typical fetal

movements, such as kicking and
squirming, and provide
information on prenatal testing
options, such as ultrasound

3. The patient will be able to
name at least three food groups
that are important for a healthy
pregnancy diet.
- The patient will identify at
least two strategies for managing
morning sickness or food
aversions during pregnancy.
- The patient will be able to
explain the risks of consuming
caffeine or alcohol during
pregnancy.
scans and blood tests.
Understanding fetal movements,
such as kicking and squirming,
can help ease anxiety and
concerns related to fetal health
and provide a sense of connection
between the mother and the
developing fetus. On the other
hand, prenatal testing options
such as ultrasound scans and
blood tests provide information
about the health of the baby and
help identify any potential health
issues or complications during
pregnancy, which enable the
healthcare team to provide
appropriate care and treatment
timely.
3.1 Provide the patient with a 3.
list of healthy foods to eat
during pregnancy, such as:
 Leafy greens
 Fruits
 Whole grains
 Lean protein, and
low-fat dairy
products.
Helps ensure that the mother and
the developing fetus receive a
balanced and nutritious diet.
Eating a variety of healthy foods
provides an adequate amount of
essential vitamins and minerals
necessary for both the mother's
and the fetus' growth and
development.

3.2 Explain the importance

of eating a balanced diet
with a variety of
nutrients, including:
 Folic acid
 Calcium
 Iron
Adequate folic acid intake is
essential for the developing fetal
neural tube. Calcium is needed
for healthy bone development and
is also essential for maintaining
the mother's bone density. Iron is
needed to produce hemoglobin,
which carries oxygen to the fetus
and is essential for fetal
development.
3.3 Give tips on how to
manage morning sickness
and food aversions, such
as:
 Eating in smaller,
more frequent meals
 Avoiding greasy or
spicy foods.
Help manage morning sickness
and help prevent overeating.

3.4 Provided suggestions for

healthy snacks, such as:
 Fresh fruit
 Yogurt (If
available given the

4. The patient will be able to
identify at least two types of
physical activity that are safe
during pregnancy.
current state of
the patient)
 Vegetable sticks.
Healthy snacks also help the
mother get an adequate amount
of vitamins and minerals and
prevent overeating.
3.5 Discussed the importance
of staying hydrated and
limiting caffeine and
alcohol intake. Adequate
water intake helps
maintain amniotic fluid
levels, prevent
dehydration, and avoid
constipation. Limiting
caffeine and alcohol intake
minimizes the risk of
preterm labor, fetal
alcohol syndrome, and
other complications
4.1 Discussed the benefits of 4.
exercise during pregnancy, such
as reducing the risk of
gestational diabetes and
improving mood and energy
levels. Provide
recommendations for
appropriate types of physical
activity, such as walking and
strength training. Exercise can
have many physical and mental
health benefits during pregnancy,
and providing information on
these benefits can help motivate
the patient to stay active and
engaged in their care.

4.2 Provided a quick question

and answer forum. For
evaluation.
PREOP NURSING DIAGNOSIS 3:

CUES/ NURSING BACKGROUND NURSING INTERVENTIONS

GOALS AND OBJECTIVES EVALUATION
ASSESSMENT DIAGNOSIS KNOWLEDGE AND RATIONALE
OBJECTIVE: Readiness for A pattern of regulating NOC: Pre-procedure Readiness; NIC: Pre-operative Coordination
 On March 29, Enhanced Health and integrating into Surgery Preparedness
2023, Management daily living a
discussion of therapeutic regimen for GOAL:
the surgical treatment of illness and After the nursing intervention, the
procedure its sequelae that is patient will correctly perform all
was done sufficient for meeting the necessary procedures and
between the health-related goals and explain the reasons for actions.
Patient and can be strengthened. The patient will be able to
his Medical (NANDA, 15th Edition) manifest calm and relaxed
Provider behavior with vital signs within
 Consent for normal range and understand the
surgical purpose of his scheduled surgical
procedure operation.
was secured.
OBJECTIVES:
After 2-3 hours of nursing During the health care, the nurse After the implementation of
intervention before the scheduled will: nursing interventions, the
operation, the patient will be able patient was able to:
to:

1. Be informed regarding the
surgical procedure
1. Initiate a discussion with the 1. State in his own words the
patient regarding the surgical procedure that he will be
procedure: undergoing and why it is
 Reinforce what was necessary to do so.
discussed between the
patient and his surgeon
 Explain the goal of the
surgical procedure
 Answer the patient’s

2. Participate in health care
decisions
3. Maintain safety during the
intra-operative period
4. Be informed of the post-
questions and queries
truthfully.
Having a discussion with the
patient regarding the surgical
procedure is vitally important for
him to understand the risks and
benefits of the procedure, reduce
anxiety, and decide accordingly.
2. Secure the patient’s consent for 2. Voluntarily sign the
the surgical procedure. Informed Consent after
Obtaining the patient’s consent discussing the surgical
indicates that he understands the procedure.
surgical procedure to be
performed and that he allows his
medical provider/s to perform the
procedure.
4. Assist in the preparation of the 3. Remain safe during his
Operating Room procedure since the nurse
 Ascertain electrical safety of collaborated with the OR team
equipment used in surgical in ensuring the functionality of
procedures such as intact the equipment that will be used
cords, grounds, and medical
engineering verification
labels to eliminate the
chances of equipment
malfunction during the
operative procedure;
 Assist in transporting the
patient to ensure patient
safety during transfer.
4. Initiate a discussion with the 4. Enumerate the mentioned
operative management of health.
patient regarding: risks and stated in his own
 Possible post-operative words the postoperative
complications such as measures that will be
bleeding and wound implemented.
infection
 Postoperative curative
measures such as pain
control; surgical site
assessment, care, assessing
the patient’s level of
sensation, circulation, and
safety
Providing postoperative
instructions during the
preoperative period is necessary
to ensure that the patient is able
to assimilate the pieces of
information given without
distractions such as
postoperative pain and
drowsiness due to the side effects
of the administered anesthetic.

5. 5. 5.