Question

A 15 year-old female has come to the urgent care complaining about nausea, vomiting, and feeling tired all the time. Her complaints are vague, but the nurse is suspicious she may be pregnant when the girl mentions she is late for her period.

A. What nursing care will you provide to this young lady if she is pregnant.

B. What nursing diagnoses will apply to this situation?

C. What are some expected outcomes?

Answer 1

A.) The following nursing care can be provided to this young lady if she is pregnant.

a) nausea and  vomiting: The nursing care includes,

-advise the client to munch some toast/rusk before arising

-providing small and frequent meals throughout the day

-providing fluids between meals to prevent the fullness of the stomach

-avoid an empty stomach

-avoid fried foods

-avoid strong and pungent smell foods for the client

-provide food of her choice

b)Feeling tired of fatigue: The nursing care includes,

-advise the mother to take rest whenever she feels tired

-provide a client healthy and balanced diet

-advise the mother to take 2 hours afternoon nap every day

-advise the mother to avoid stress

-advise the mother to avoid strenuous activities

-light and moderate activities only can be advice

Apart from the above nursing care, the other intervention can also be given such as,

-proper immunization advice such as TT vaccine

-iron and folic acid supplementation

-educate clients on warning signs of hypertension and other complications

-educate the client on how to prevent constipation and heartburn

-educate the client on avoiding smoking, consumption of alcohol, and avoiding radiation

B.) What nursing diagnoses will apply to this situation?

1) activity intolerance related to physiological changes during pregnancy as evidenced by verbalization of the patient

2)imbalanced nutrition, less than body requirements, related to nausea and vomiting as evidenced by subjective data from the patient

C)The expected outcomes of the pregnancy are as follows:-

-The patient will get relieved by fatigue and will carry out regular physical activities

-The patient will be free from nauseated feeling

-The client will not have vomiting and she will continue to have her regular diet

-Avoiding complications during antenatal, intra-natal, and postnatal period

-Birth of a healthy newborn

-Health of the mother to be preserved