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Nursing Care R/T Psychological & Physiologic Changes of Pregnancy

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Maternal and Child Health Nursing (NCM 65):

NURSING CARE r/t PSYCHOLOGICAL &


PHYSIOLOGIC CHANGES OF
PREGNANCY
Ms. Grace Bautista | Sept. 15, 2021

OUTLINE III. 2020 NATL HEALTH GOALS R/T PSYCHOLOGICAL &


I. Psychological Changes PHYSIOLOGICAL CHANGES OF PREGNANCY
II. Physiological Changes • Increase abstinence from alcohol, cigarettes, and illicit drugs
III. 2020 Natl Health Goals r/t Psychological & Physiological among pregnant women from baselines of 89.4%, 89.6%,
Changes of Pregnancy and 94.9% to target levels of 98.4%, 98.6%, and 100%
IV. Nursing Process: Psychological & Physiological Changes of • Reduce maternal deaths from a baseline of 12.7/100,000 live
Pregnancy births to a target of 11.4/100,000.
• Increase the proportion of pregnant women who receive
A. Nursing Care Planning Tips for Effective
early and adequate prenatal care from a baseline of 70.5% to
Communication a target level of 77.6%.
B. Assessing Events that Could Contribute to Difficulty
Accepting a Pregnancy IV. NURSING PROCESS: PSYCHOLOGICAL & PHYSIOLOGICAL
C. Assessing Physiologic Changes of Pregnancy
CHANGES OF PREGNANCY
D. Nursing Diagnoses: Psychological & Physiological
• Assessment
Changes of Pregnancy • Nursing Diagnosis
E. Nursing Outcomes: Psychological & Physiological • Outcome identification and planning
Changes of Pregnancy • Implementation
F. Nursing Care for Psychological & Physiological • Outcome evaluation
Changes of Pregnancy
V. Presumptive Indications of Pregnancy A. NURSING CARE PLANNING TIPS FOR EFFECTIVE
VI. Probable Indications of Pregnancy COMMUNICATION
VII. Positive Indications of Pregnancy

I. PSYCHOLOGICAL CHANGES
• Social

• Cultural

• Family

• Personal influences

II. PHYSIOLOGICAL CHANGES

B. ASSESSING EVENTS THAT COULD CONTRIBUTE TO


DIFFICULTY ACCEPTING A PREGNANCY

Forro, Gwyn Oona Florence L. | 1


C. ASSESSING PHYSIOLOGIC CHANGES OF PREGNANCY D. NURSING DIAGNOSES: PSYCHOLOGICAL & PHYSIOLOGIC
CHANGES OF PREGNANCY
• Altered breathing patterns r/t respiratory system changes of
pregnancy
• Disturbed body image r/t weight gain from pregnancy
• Deficient knowledge r/t normal changes of pregnancy
• Imbalanced nutrition, less than body requirements, r/t early
morning nausea
• Powerlessness r/t unintended pregnancy
• Possible impaired health and prenatal care behaviors
associated with cultural beliefs

E. NURSING OUTCOMES: PSYCHOLOGICAL & PHYSIOLOGIC


CHANGES OF PREGNANCY
• Patient states that she is able to continue her usual lifestyle
throughout the pregnancy
• Family members describe ways they have adjusted their
lifestyles to accommodate the mother’s fatigue
• Couple states they understand the physiologic changes of
pregnancy

F. NURSING CARE FOR PSYCHOLOGICAL & PHYSIOLOGIC


CHANGES OF PREGNANCY

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V. PRESUMPTIVE INDICATIONS OF PREGNANCY
1. Breast changes
o Feelings of tenderness, fullness, tingling
o Enlargement and darkening of areola
2. Nausea and vomiting when rising or when fatigued
3. Amenorrhea
o Absence of menstruation
4. Frequent urination
o Sense of having to void more often than usual
5. Fatigue (general feeling of tiredness)
6. Uterine enlargement
o Uterus can be palpated over symphysis pubis
7. Linea nigra
o A line of dark pigment form on the abdomen
8. Melasma
o Dark pigment forms on the face
9. Striae gravidarum
o Stretch marks form on the abdomen

VI. PROBABLE INDICATIONS OF PREGNANCY


1. Maternal serum test
2. Chadwick’s sign
3. Hegar’s
sign:

4. Ballottement
o When lower uterine segment is tapped on a
bimanual examination, the fetus can be felt to rise
against the abdominal wall
5. Braxton Hicks contraction
o Periodic uterine tightening occurs

VII. POSITIVE INDICATIONS OF PREGNANCY


1. Sonographic evidence of fetal outline
2. Fetal heart audible
3. Fetal movement felt by examiner

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