CarePlans for Pregnancy


Thepatient is a 25-year-old Caucasian female her Last Menstrual Period(LMP) is 12-1-12. Her Expected Date of Delivery (EDD) is 9-8-13 andher Gestation by Date is 6 weeks, 3 days. She believes she ispregnant since she has experienced some signs and symptoms ofpregnancy such as nausea and breast tenderness. Her pregnancy testedpositive during a home test.

EstimatedDate of Delivery

TheEstimated Date of Delivery of the patient is 9-8-13. I estimated herdate of delivery by using Nagele’s rule, that is, I added 7 days tothe first day of her Last Menstrual Period (LMP), subtracted threemonths from the month and finally added one year to the year. Some ofthe patient’s factors such as her signs and symptoms, includingexperiencing nausea and breast tenderness led to my estimation of herdate of delivery (Ackley &amp Ladwig, 2014).

ClinicalGuidelines for Procedures and Screenings

Theclient will be screened against the Venereal Disease ResearchLaboratory (VDRL) test and HIV test for syphilis and HIVrespectively. Another procedure that will be done is to determine theblood group of the client and the Rhesus factor. The hemoglobin levelof the blood will be also checked. Lastly, the client’s urine willbe taken for urinalysis to check for Urinary Tract Infections (Ackley&amp Ladwig, 2014). Failure to carry out these procedures andscreening might lead to congenital abnormalities of the newborn andcomplications to the mother before and during birth (Fischbach,2014).

Planof Care for the Patient

Theclient should be encouraged to be taking folic acid supplement as itassists in the development of the fetus and boosts the blood level ofthe mother. Prenatal vitamins should also be given to the mother. Theclient should also be encouraged to sleep under Insecticide TreatedNets (ITN) to prevent infections such as malaria which may complicatethe pregnancy. Lastly, the mother should be encouraged to take awell-balanced diet that is rich in calories and other food groups toboost the immunity (London, Ladewig, Ball &amp Bindler, 2013).


Theclient should be taught about the various danger signs in pregnancyand the way to manage them in case they are present. The clientshould also be encouraged to perform some small exercise and to avoidheavy duties (London, Ladewig, Ball &amp Bindler, 2013). In case ofany complications experienced during the pregnancy, the client shouldsee a doctor.


Ackley,B.J., &amp Ladwig, G.B. (2014). Nursingdiagnosis handbook: A guide to planning

care.(10thed.). St. Louis: Mosby.

DeglinJ.H., &amp Vallerand A.H. (2015). Davis’sdrug guide for nurses.(15thed.).

Philadelphia:F.A. Davis.

Fischbach,F. (2014). Amanual of laboratory and diagnostic tests(9thed.). Philadelphia:


London,M.L., Ladewig, P.W., Ball, J.W., &amp Bindler, R.C. (2013). Maternal&amp child

nursingcare.(4thed.).Upper Saddle River: Pearson.