Chapter 3: Prioritization
Nursing Diagnosis Rank
Acute Pain related to
frequent muscle cramps
secondary to physiologic
need for sleep and rest
during pregnancy
Deficient knowledge
related lack of info of
physical changes,
physiological changes as
evidenced by questions
and statement concern
Risk for activity
intolerance related as
evidenced by
Risk for individual
family coping related to
personal suffering as
evidenced by lack of
interaction to her
husband.
Health seeking behavior
related to concern about
the current health status
Supporting Data Justification
1 Presence of leg cramps It is the highest prioritized
problem because based on
Maslow’s Hierarchy of Needs,
the client’s health is greatly
affected and must need an
immediate action.
2 Lack of knowledge It is the second prioritized
about the current problem because based on the
condition Maslow’s Hierarchy of Needs;
the client is experiencing
different changes in
physiological or psychological
that she doesn’t know because
of lack of information.
3 Due to leg cramps the It is the third place because
client’s health and according to Types of Nursing
activities may not be Diagnosis the client’s health is
able to perform. at risk may likely happened
Due to her personal It is in the fourth prioritized
4 concerns she might tell problem based on Types of
it to her husband Nursing Diagnosis the client’s
because she wants it to family coping is at risk and
furtive it. may likely happen.
Go nearest health center It is the least prioritized
5 for check-up. because based on the Types of
Nursing Diagnosis the client is
suffering is seeking for a help
and it is in the wellness state.
Chapter 4: Nursing Care Plan

Assessment Nursing Diagnosis Scientific Rationale Planning Interventions Rationale Evaluation

Acute Pain related to Pain is perceived Long Term: Independent: Long Term:
Subjective: frequent muscle depends o the
“Masakit lang naman cramps secondary to interaction between the After two days of • Monitor Vital • To have a baseline After two days of
sa may bandang hita”, physiologic need for body’s analgesia interventions the client Signs data interventions the client
as verbalized by the sleep and rest during system and CNS will be able to reduce was able to reduced or
client pregnancy transmission in the or eliminate pain • Demonstrate • To consider non- eliminate pain
minds interpretation non-therapeutic pharmalogical
and stimuli and its regimen therapies for pain
Objectives: meaning. Short Term: relief Short Term:

• Pain Scale: 6/10 After two hours of • Advice the • To promote healing After two hours of
• grimace -Fundamentals of interventions the client client to apply of injured tissues interventions the client
• tenderness on lower Nursing by Kozier will be able to: heating pad or was able to:
extremities page 1190 warm bath
• Demonstrate the • To promote blood • Demonstrate the
relaxation • Elevate the circulation relaxation
technique lower extremities technique
• To reduce
• Verbalized 3/10 or • Advice the phosphorus level • Verbalized 3/10 or
0/10 pain scale client to lower the 0/10 pain scale
milk intake to
• Verbalized four only a pint daily • Verbalized
remedies for le and four remedies for
cramps to decrease supplementing le cramps to
pain this with calcium. decrease pain

Collaborative • To pain controlled

throughout the day
• Administer
analgesic as
prescribed by the
mother
 INSTRUCTIONAL PLAN

TOPIC: Discomfort and Remedies During Pregnancy VENUE AND DATE: Sta. Cruz, Sto. Thomas Batangas, 1/19-20/09

THEME: TARGET GROUP: OB Patients

Learning Objectives Content Methodology Time Frame Resources Person Involve Evaluation
After 45 minutes of These are The discussion will The things that we After 45 minutes of
health teachings the discomfort of the • Discussion approximately end will use are the Students of M3 health teachings the
client will be able to: client that are • Role at 30-45 minutes. following: • Morales, Suzanne client was able to:
usually Playing • Visual aids Marie S.
1. Acquire encountered: • Hard copy of • Paddit, Casssandra 1. Acquire
knowledge about First Trimester: Intermission health Ahsaki knowledge about the
the importance of • Nausea and Number: teachings • Ranada, Rina Joy importance of
knowing the Vomiting • Tokens and P. knowing the
common • Constipation • Sing and Certificate • Siriban, Jessa May common discomforts
discomforts and • Varicosities Dance • Leaflets R. and respective
respective • Muscle Cramps • Man Power remedies throughout
remedies • Palmar pregnancy.
• Research
throughout Erythema OB Patients
pregnancy. • Ronalyn Castillo; 2. Attain attitude to
• Fatigue
and adapt some changes
2. Attain attitude • Breast physiologic,
Tenderness • others
to adapt some psychological and
changes physical changes
physiologic, Second Trimester
psychological and • Backache 3. Gain skills in
physical changes • Headache applying different
method on how to
3. Gain skills in Third Trimester have a complete
applying different • Ankle Edema self-care.
method on how to • Dyspnea
have a complete
self-care.