SAINT LOUIS UNIVERSITY

Baguio City

School of Nursing

Teaching Plan
On
Healthy Pregnancy

Submitted by:
Kristian Paul Marco M. del Fierro
Michael Resultan Jr.
BSN II-B
Submitted to:
Mrs. Marife Calaustro
Clinical Instructor

SAINT LOUIS UNIVERSITY

Baguio City

School of Nursing
A. DESCRIPTION OF LEARNERS: The learner
from
. The client lacks enough knowledge about healthy pregnancy.
Furthermore, the client needs more specialized information about proper nutrition and sleep during pregnancy, etc.
B. LEARNING NEEDS:
C. LEARNING DIAGNOSIS: Knowledge deficit on measures about healthy pregnancy related to inadequate knowledge in taking care of self during pregnancy.
D. GOALS: The clients will be able to learn and practice measures about healthy pregnancy.
E. SUMMARY OF TEACHING PLAN:
BEHAVIORAL LEARNING
OBJECTIVES

LEARNING CONTENT

TEACHING STRATEGIES
/ METHOD AND
ACTIVITIES

TIME ALLOTMENT
AND RESOURCES
NEEDED

METHOD OF
EVALUATION

OUTCOME CRITERIA

After lecture discussion

has ended, the learners
will be able to:

Define pregnancy.

Identify at least 5
out of 7 signs of

healthy
pregnancy.

Enumerate at least
3 out of 5 minerals
needed during
pregnancy.
Enumerate at least
5 out of many
sources of minerals
needed during
pregnancy.
Enumerate at least
2 out of 7 ways to
have a good sleep.

The definition of
pregnancy.

List of signs of healthy

pregnancy.

List of minerals which

usually diminished
during pregnancy

List of mineral sources

needed during
pregnancy.

List of ways in
achieving good sleep
during pregnancy.

List of things to avoid

to have a healthy

Lecture Discussion
Evaluation

10 - 20 minutes.
Pamphlets and
visual aid
(illustrations).

FULLY MET IF:

The learners will be able to
define pregnancy correctly at
the same time enumerate at
least 5 out of 7 signs of
healthy pregnancy, 3 out of
5 minerals needed during
pregnancy, 5 out of many
sources needed during
pregnancy, at least 2 out of 7
ways to have a good sleep, 3
out of 4 things to avoid to
attain healthy pregnancy
PARTIALLY MET IF:
The learners was not able to
define pregnancy correctly but
was able to enumerate at least
5 out of 7 signs of healthy
pregnancy, 3 out of 5
minerals needed during
pregnancy, 5 out of many

Instant oral
feedback
The learners
will correctly
answer
questions
about Healthy
pregnancy .

pregnancy.

sources needed during

pregnancy, at least 2 out of 7
ways to have a good sleep, 3
out of 4 things to avoid to
attain healthy pregnancy

Identify 3 out of 4
things to avoid to
attain healthy
pregnancy.

NOT MET IF:

No improvement at all.

F. ATTACHMENTS:
HEALTHY PREGNANCY

Prenatal Health Care

Key to protecting the health of your child is to get regularprenatal care. If you think you're pregnant, call your health care provider to schedule an appointment. You should schedule
your first examination as soon as you think you might be pregnant.
At this first visit, your health care provider will probably do a pregnancy test, and will figure out how many weeks pregnant you are based on a physical examination and the date of
your last period. He or she will also use this information to predict your delivery date (an ultrasound done sometime later in your pregnancy will help to verify that date).
If you're healthy and there are no complicating risk factors, most health care providers will want to see you:

every 4 weeks until the 28th week of pregnancy

then every 2 weeks until 36 weeks
then once a week until delivery

Throughout your pregnancy, your health care provider will check your weight and blood pressure while also checking the growth and development of your baby (by doing things like
feeling your abdomen, listening for the fetal heartbeat starting during the second trimester, and measuring your belly). During the span of your pregnancy, you'll also have prenatal tests,
including blood, urine, and cervical tests, and probably at least one ultrasound.
When choosing a health care provider to counsel and treat you during your pregnancy, your options include:

obstetricians/gynecologists (also known as OB/GYNs): doctors who specialize in pregnancy and childbirth, as well as women's health care)
family practitioners: doctors who provide a range of services for patients of all ages in some cases, this includes obstetrical care
certified nurse-midwives: advanced practice nurses specializing in women's health care needs, including prenatal care, labor and delivery, and postpartum care for uncomplicated
pregnancies. There are also other kinds of midwives, but you should look for one with formal training who's been certified in the field.

Any of these is a good choice if you're healthy and there's no reason to anticipate complications with your pregnancy and delivery. However, nurse-midwives do need to have a doctor
available for the delivery in case an unexpected problem arises or a cesarean section (C-section) is required.

Nutrition and Supplements

Now that you're eating for two (or more!), this is not the time to cut calories or go on a diet. In fact, it's just the opposite you need about 300 extra calories a day, especially later
in your pregnancy when your baby grows quickly. If you're very thin, very active, or carrying multiples, you'll need even more. But if you're overweight, your health care provider may advise
you to consume fewer extra calories.
Healthy eating is always important, but especially when you're pregnant. So, make sure your calories come from nutritious foods that will contribute to your baby's growth and
development.
Try to maintain a well-balanced diet that incorporates the dietary guidelines including:

lean meats
fruits
vegetables
whole-grain breads
low-fat dairy product

By eating a healthy, balanced diet you're more likely to get the nutrients you need. But you will need more of the essential nutrients (especially calcium, iron, and folic acid) than you did
before you became pregnant. Your health care provider will prescribe prenatal vitamins to be sure both you and your growing baby are getting enough.

But taking prenatal vitamins doesn't mean you can eat a diet that's lacking in nutrients. It's important to remember that you still need to eat well while pregnant. Prenatal vitamins are
meant to supplement your diet, and aren't meant to be your only source of much-needed nutrients.

Calcium
Most women 19 and older including those who are pregnant don't often get the daily 1,000 mg of calcium that's recommended. Because your growing baby's calcium demands
are high, you should increase your calcium consumption to prevent a loss of calcium from your own bones. Your doctor will also likely prescribe prenatal vitamins for you, which may contain
some extra calcium.
Good sources of calcium include:

low-fat dairy products including milk, pasteurized cheese, and yogurt

calcium-fortified products, including orange juice, soy milk, and cereals
dark green vegetables including spinach, kale, and broccoli
tofu
dried beans
almonds
Iron

Pregnant women need about 30 mg of iron every day. Why? Because iron is needed to make hemoglobin, the oxygen-carrying component of red blood cells. Red blood cells circulate
throughout the body to deliver oxygen to all its cells.
Without enough iron, the body can't make enough red blood cells and the body's tissues and organs won't get the oxygen they need to function well. So it's especially important for pregnant
women to get enough iron in their daily diets for themselves and their growing babies.
Although the nutrient can be found in various kinds of foods, iron from meat sources is more easily absorbed by the body than iron found in plant foods. Iron-rich foods include:

Folate

red meat
dark poultry
salmon
eggs
tofu
enriched grains
dried beans and peas
dried fruits
dark leafy green vegetables
blackstrap molasses
iron-fortified breakfast cereals
(Folic Acid)

The Centers for Disease Control and Prevention (CDC) recommends that all women of childbearing age and especially those who are planning a pregnancy get about 400 micrograms
(0.4 milligrams) of folic acid supplements every day. That can be from a multivitamin or folic acid supplement in addition to the folic acid found in food.

So, why is folic acid so important? Studies have shown that taking folic acid supplements 1 month prior to and throughout the first 3 months of pregnancy decrease the risk of neural tube
defects by up to 70%.
The neural tube formed during the first several weeks of the pregnancy, possibly before a woman even knows she's pregnant goes on to become the baby's developing brain and spinal
cord. When the neural tube doesn't form properly, the result is a neural tube defect such as spina bifida.
Again, your health care provider can prescribe a prenatal vitamin that contains the right amount of folic acid. Some pregnancy health care providers even recommend taking an additional
folic acid supplement, especially if a woman has previously had a child with a neural tube defect.
If you're buying an over-the-counter supplement, remember that most multivitamins contain folic acid, but not all of them have enough to meet the nutritional needs of pregnant women.
So, be sure to check labels carefully before choosing one and check with your health care provider.

Fluids
It's important to drink plenty of fluids, especially water, during pregnancy. A woman's blood volume increases dramatically during pregnancy, and drinking enough water each day can help
prevent common problems such as dehydration and constipation.

Exercise
The U.S. Department of Health and Human Services recommends at least 150 minutes (that's 2 hours and 30 minutes) of moderate-intensity aerobic activity each week if you're not already
highly active or doing vigorous-intensity activity.
If you are very active or did intense aerobic activities before becoming pregnant, you may be able to keep up your workouts, as long as your doctor says it's safe. Before beginning or
continuing any exercise regimen talk to your doctor first.
Exercising during pregnancy has been shown to be extremely beneficial. Regular exercise can help:

prevent excess weight gain

reduce pregnancy related problems, like back pain, swelling, and constipation
improve sleep
increase energy
improve outlook
prepare for labor
lessen recovery time

Low-impact, moderate-intensity exercise activities (such as walking and swimming) are great choices. You can also opt for yoga or Pilates classes, DVDs, or videos that are tailored for
pregnancy. These are low-impact and they work on strength, flexibility, and relaxation.
But you should limit high-impact aerobics and avoid certain sports and activities that pose a risk of falling or abdominal injury. Typical limitations include contact sports, downhill skiing,
scuba diving, and horseback riding.

It's also important to be aware of how your body changes. During pregnancy, your body produces a hormone known as relaxin, which is believed to help prepare the pubic area and the
cervix for the birth. The relaxin loosens the ligaments in your body, making you less stable and more prone to injury.
So, it's easy to overstretch or strain yourself, especially the joints in your pelvis, lower back, and knees. In addition, your center of gravity shifts as your pregnancy progresses, so you may
feel off-balance and at risk of falling. Keep these in mind when you choose an activity and don't overdo it.
Whatever type of exercise you choose, make sure to take frequent breaks and remember to drink plenty of fluids. And use common sense slow down or stop if you get short of breath or
feel uncomfortable. If you have any questions about doing a certain sport or activity during your pregnancy, talk to your health care provider for specific guidelines.

Sleep
It's important to get enough sleep during your pregnancy. Your body is working hard to accommodate a new life, so you'll probably feel more tired than usual. And as your baby gets bigger,
it will be harder to find a comfortable position when you're trying to sleep.
Lying on your side with your knees bent is likely to be the most comfortable position as your pregnancy progresses. It also makes your heart's job easier because it keeps the baby's weight
from applying pressure to the large blood vessels that carry blood to and from your heart and your feet and legs. Lying on your side can also help prevent or reduce varicose veins,
hemorrhoids, and swelling in your legs.
Some doctors specifically recommend that pregnant women sleep on the left side. Because one of those big blood vessels is on the right side of your abdomen, lying on your left side helps
keep the uterus off of it. Lying on your left side optimizes blood flow to the placenta and, therefore, your baby.
Ask what your health care provider recommends. In most cases, lying on either side should do the trick and help take some pressure off your back. To create a more comfortable resting
position either way, prop pillows between your legs, behind your back, and underneath your belly.

Some Things to Avoid

When you're pregnant, what you don't put into your body (or expose your body to) is almost as important as what you do. Here are some things to avoid:
Alcohol
Although it may seem harmless to have a glass of wine at dinner or a mug of beer out with friends, no one has determined what's a "safe amount" of alcohol to consume during pregnancy.
One of the most common known causes of mental and physical birth defects, alcohol can cause severe abnormalities in a developing fetus.
Alcohol is easily passed along to the baby, who is less equipped to eliminate alcohol than the mother. That means an unborn baby tends to develop a high concentration of alcohol, which
stays in the baby's system for longer periods than it would in the mother's. And moderate alcohol intake, as well as periodic binge drinking, can damage a baby's developing nervous system.
If you had a drink or two before you even knew you were pregnant (as many women do), don't worry too much about it. But your best bet is to not drink any alcohol at all for the rest of
your pregnancy.

Recreational Drugs
Pregnant women who use drugs may be placing their unborn babies at risk for premature birth, poor growth, birth defects, and behavior and learning problems. And their babies could also
be born addicted to those drugs themselves.
If you're pregnant and using drugs, a health clinic such as Planned Parenthood can recommend health care providers, at little or no cost, who can help you quit your habit and have a
healthier pregnancy.
If you've used any drugs at any time during your pregnancy, it's important to inform your health care provider. Even if you've quit, your unborn child could still be at risk for health problems.
Nicotine
You wouldn't light a cigarette, put it in your baby's mouth, and encourage your little one to puff away. As ridiculous as that seems, pregnant women who continue to smoke are allowing their
fetus to smoke, too. The smoking mother passes nicotine and carbon monoxide to her growing baby.
The risks of smoking to the fetus include:

stillbirth
prematurity
low birth weight
sudden infant death syndrome (SIDS)
asthma and other respiratory problems

If you smoke, having a baby may be the motivation you need to quit. Talk to your health care provider about options for stopping your smoking habit.
Caffeine
High caffeine consumption has been linked to an increased risk of miscarriage, so it's probably wise to limit or even avoid caffeine altogether if you can.
If you're having a hard time cutting out coffee cold turkey, here's how you can start:

Cut your consumption down to one or two cups a day.

Gradually reduce the amount by combining decaffeinated coffee with regular coffee.
Eventually try to cut out the regular coffee altogether.

And remember that caffeine is not limited to coffee. Many teas, colas, and other soft drinks contain caffeine. Try switching to decaffeinated products (which may still have some caffeine, but
in much smaller amounts) or caffeine-free alternatives.
If you're wondering whether chocolate, which also contains caffeine, is a concern, the good news is that you can have it in moderation. Whereas the average chocolate bar has anywhere
from 5 to 30 milligrams of caffeine, there's 95 to 135 milligrams in a cup of brewed coffee. So, small amounts of chocolate are fine.

Food Smarts & Other Precautions

Although you need to eat plenty of healthy foods during pregnancy, you also need to avoid food-borne illnesses, such aslisteriosis and toxoplasmosis, which can be life-threatening to an
unborn baby and may cause birth defects or miscarriage.
Foods you'll want to steer clear of include:

soft, unpasteurized cheeses (often advertised as "fresh") such as feta, goat, Brie, Camembert, and blue cheese
unpasteurized milk, juices, and apple cider
raw eggs or foods containing raw eggs, including mousse, tiramisu, raw cookie dough, homemade ice cream, and Caesar dressing (although some store-bought brands of the
dressing may not contain raw eggs)
raw or undercooked meats, fish (sushi), or shellfish
processed meats such as hot dogs and deli meats (unless they are reheated until steaming)

Also, although fish and shellfish can be an extremely healthy part of your pregnancy diet (they contain beneficial omega-3 fatty acids and are high in protein and low in saturated fat), you
should avoid eating:

shark
swordfish
king mackerel
tilefish
tuna steak

These types of fish may contain high levels of mercury, which can cause damage to the developing brain of a fetus. When you choose seafood, limit the total amount to about 12 ounces per
week that's about two meals. Also, if you eat canned tuna, limit consumption to no more than 6 ounces per week. Also, check any local advisories before consuming recreationally caught
fish.
Changing the Litter Box
Pregnancy is the prime time to get out of cleaning kitty's litter box. Why? Because toxoplasmosis can be spread through soiled cat litter boxes and can cause serious problems, including
prematurity, poor growth, and severe eye and brain damage. A pregnant woman who becomes infected often has no symptoms but can still pass the infection on to her developing baby.
Over-the-Counter and Prescription Medications
Even common over-the-counter medications that are generally safe may be considered off-limits during pregnancy because of their potential effects on the baby. And certain prescription
medications may also cause harm to the developing fetus.
To make sure you don't take anything that could be harmful to your baby:

Ask your health care provider which medicines both over-the-counter and prescription are safe to take during pregnancy.
Talk to your health care provider about any prescription drugs you're taking.
Let all of your health care providers know that you're pregnant so that they'll keep that in mind when recommending or prescribing any medications.

Also remember to discuss natural remedies, supplements, and vitamins.

If you were prescribed a medication before you became pregnant for an illness, disease, or condition you still have, consult with your health care provider, who can help you weigh potential
benefits and risks of continuing your prescription.
If you become sick (e.g., with a cold) or have symptoms that are causing you discomfort or pain (like a headache or backache), talk to your health care provider about medications you can
take and alternative ways to help you feel better without medication.

Healthy Pregnancy Habits: From Start to Finish

During pregnancy, from the first week to the fortieth, it's important to take care of yourself in order to take care of your baby. Even though you have to take some precautions and be everaware of how what you what you do and don't do may affect your baby, many women say they've never felt healthier than when they carried their children.

REFERENCES:

http://kidshealth.org/parent/pregnancy_center/your_pregnancy/preg_health.html#