Prenatal Management

  1. Assessment: nutritional status:
    1. Physical findings suggesting poor nutritional status:
      1. Skin: rough, dry, scaly.
      2. Lips: lesions in corners.
      3. Hair: dull, brittle.
      4. Mucous membranes: pale.
      5. Dental caries.
    2. Height, weight, age - average weight gain approximately 24 lb. Range from 24 to 32 lb is best for mother and neonate.
    3. Laboratory values - Hemoglobin: < 10.5/100 mg. Hct < 32% indicates anemia.
    4. Nutrition history.
    5. Analysis/nursing diagnosis:
      1. Altered nutrition: less than body requirements related to anemia, vitamin/mineral deficit.
      2. Altered nutrition: more than body requirements related to obesity.
    6. Nursing care plan/implementation:
      Goal: health teaching. Nutritional counseling for diet in pregnancy and/or lactation.
    7. Evaluation/outcome criteria:
      1. If underweight at conception: should gain 28-42 lb (12.5-18 kg).
      2. If overweight at conception: 15-25 lb (7-11.5 kg).
      3. If obese at conception: 15 lb (7 kg) or more.