ASSESSME NT Subjective:

DIAGNOSIS Imbalanced Nutrition: Less than body requirements related to knowledge deficit of appropriate foods to eat during pregnancy

PLANNING Short-term: After 30 minutes of nursing interventions the client will be able to: a. Verbalize understandin g on the importance of proper diet. b. Enumerate foods to be included in her diet. Long-term: After 1 day of nursing interventions, the client will be able to: a. demonstrat e changes in her diet as manifested by proper food selection After 1 week of nursing interventions, the client will be able to: a. demonstrat

INTERVENTIONS 1. Assess the prepregnancy weight and present weight of the client. 2. Determine clients nutritional history, including her prepregnancy diet. 3. Determine the clients attitude towards eating. 4. Educate the client regarding the importance of eating healthy foods during her pregnancy in terms of benefits to her body and especially to her baby. 5. Educate the client regarding the vitamins and minerals that are important during her pregnancy, such as vitamin C, folic acid, iron, calcium, and protein; and the sources of these nutrients. 6. Plan with the client her desired meals. 7. Suggest ways that may assist the client in eating a. Ensure pleasant environment. b. Facilitate proper

RATIONALE 1. Provides baseline data about the client. 2. To assess the usual food that she eats even before pregnancy. 3. Psychological factors towards eating may affect one persons appetite and also to know the clients eating habits. 4. Education provides ample information that the client may not be aware of, hence leading to the kind of eating habits and diet she is following. 5. For the client to be aware of the needed nutrients by her body to nourish herself and her baby throughout the pregnancy. Also, giving sources of these nutrients helps the client to easier familiarize herself as to what foods she may include in her diet.

EVALUATIO N At the end of the nursing interventio ns, the client is able to understand the importance of proper diet. She is also able to select the meals she wants to eat, which are good sources of the nutrients needed by her and the baby. The client is also able to maintain the expected weight gain during the pregnancy.

e adequate weight gain as expected in pregnancy (3-5 lbs in the 1st trimester, 1-2 lbs per week during the 2nd and 3rd trimester)

positioning. 8. Instruct the client to avoid caffeinated beverages. 9. Instruct the client to avoid junk foods. 10. Instruct the client to follow the prescribed number of servings of the meals included in her meal plan. 11. Encourage the client to maintain the intake of the healthy foods needed by her body throughout the pregnancy and also in the post partum period.

6. Involving the client to her plan of care gives the client the feeling of independence. It also personalizes the plan of care since the client does make the choices in some aspects of the plan. 7. A pleasant environment gives the client a relaxed feeling and will not spoil her appetite. And proper positioning reduces the risk of aspiration and heartburn. 8. Caffeinated beverages may decrease the appetite and will make the client feel full easily. 9. Junk foods have empty calories that provide no nutritional help to the client. The weight gain that these foods may bring is of no good for the client and her baby. 10. Too much food intake is not good for the body. Too much

weight gain, which is out of the expected, may bring about complications, such as gestational diabetes mellitus and macrosomic babies. 11. To provide nourishment to the client and her baby that keeps both of them healthy.