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 CASE SCENARIO
Liz Calhorn, an 18-year-old, is about 20 weeks pregnant(can’t
remember date of last menstrual period). Although she says
She knows she should have stopped smoking before pregnancy,
she has not been able to do this yet. Twice during the pregnancy
(at the 4th and 10th week), she drank beer at summer picnics.
today, AT A CLINIC VISIT, SHE TELLS YOU SHE HAS FELT
HER FETUS MOVE. SHE STATES, ‘FEELING THE BABY
MOVE MADE ME REALIZE THERE’S SOMENE INSIDE
ME, YOU KNOW WHAT I MEAN? IT MADE ME REALIZE
ITS’S TIME I STARTED BEING MORE CAREFUL WITH
WHAT I DO ‘LIZ WORKS AT A FAST-FOOD RESTAURANT.
BOYFRIEND (FATHER OF FETUS) IS SUPPORTIVE BUT
HAS NO MONEY TO OFFER HER FOR SUPPORT. PATIENT
STATES, ‘I’M NOT GETTING MARRIED. JUST NOT READY
FOR THAT LEVEL OF COMMINTMENT YET.’
 Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective: Ineffective Short Term: Independent: Independent: Short Term:

-”Feeling the baby childbearing -The patient will 1.Review 1.Assesses fetal -The patient
move made me process related be able to sonogram results growth and verbalized
realize there’s to unwanted verbalize of the client development to understanding of
someone inside pregnancy as understanding of reveal possibility care
me, you know verbalized by care of intrauterine requirements to
what I mean? It the patient requirements to growth restriction promote health
made me realize “Feeling the promote health or fetal alcohol of self and infant
it’s time I started baby move of self and infant syndrome and
being more careful made me realize future needs Long Term:
with what I do.” there’s someone Long Term: 2.Use of alcohol/ 2.Maternal -The patient
inside me, you -The patient will other drugs and pregnancy displayed healthy
know what I be able to nicotine complications and pregnancy free of
mean? It made demonstrate negative effects preventable
me realize it’s healthy on the developing complications
time I started pregnancy free of of the fetus are -the patient
being more preventable increased with engaged in
careful with complications the use of activities to
what I do.” -the patient will tobacco, alcohol, prepare for birth
engage in and illicit drugs process and care
activities to 3.Emphasize the 3.Fetal wellbeing of newborn
prepare for birth importance of is directly related
process and care maternal well- to maternal
of newborn being including health, especially
discussion of during the 1st
nutrition, trimester, when
Assessment Diagnosis Planning Intervention Rationale Evaluation

regular moderate Developing organ

exercise, comfort systems are most
measures, rest, vulnerable to
breast care, and injury from
sexual activity environmental r
hereditary factors

Dependent: Dependent:
1. Provide 1.federal/state
necessary food programs
referrals as promote optimal
indicated maternal, fetal,
and infant
nutrition
Thank you
Do you have any question ?