Case Study
K.P. is a 27-year-old pregnant patient who is in her 30th week
of pregnancy. She comes to the clinic for a routine prenatal
visit.
Subjective DataPlanned and desired pregnancy, couple looking
forward to birthWorks retail clothing storeMarried, lives with
spouse Exercises three times a week, aerobics classes
Objective DataPrepregnancy BMI 27Total pregnancy weight gain so
far 10 poundsAll other pregnancy lab work and ultrasounds have been
normal G1 T0 P0 A0 L0Vital signs: BP 114/58, HR 72, R 16, T
36.8Fundal height: 32 cm
Questions:1. Based on the information in the readings and
objective and subjective data, is this patients pregnancy
progressing normally? Why or why not?
The patients pregnancy is progressing normally but she is on the
lower end of the weight gain. Patient should gain about 15-25 for a
full term pregnancy.
2. What do the data G1 T0 P0 A0 L0 indicate about the patients
past medical history?
This is patients first pregnancy and no miscarriages
3. What nutritional recommendations should the nurse advice for
a pregnant patient?
175 g of carbohydrates, 71 grams of protein is needed for fetal
growth and also needed for normal diet. Patient needs to be taken
folic acid in prenatal vitamins and needs to drink 64 ounces of
water a day.
4. What are some primary prevention recommendations to reduce
the risk for pregnancy complications?
Keep good oral hygiene, poor hygiene can be linked to premature
labor. Avoid alcohol, smoking, and excessive caffeine. Should
continue prenatal vitamins.
5. What are secondary prevention measures for screening pregnant
women for complications in pregnancy?
Pregnant women should be screened for high blood pressure,
diabetes, sexually transmitted diseases, Rh factor blood
incompatibility, and urinary bacteria, genetic variations that
could result in birth defects or chromosomal abnormalities in the
fetus, preeclampsia, and usually placental and fetal abnormalities
using ultrasound.
References :
McKinney, E., James, S., Murray, S., Nelson, K., & Ashwill,
J. (2013). Maternal-child nursing (4th ed.). St. Louis, Mo.:
Elsevier Saunders.
