Pregnancy: Nursing
Diagnoses & Care Plans
Pregnancy Stages:
Pregnancy is divided into three trimesters, each with distinct
developmental milestones:
1. First Trimester (Week 1 - Week 12):The initial stage involving
fertilization, implantation, and early embryonic development.
2. Second Trimester (Week 13 - Week 26): A period of rapid fetal growth,
organ development, and maternal physiological adjustments.
3. Third Trimester (Week 27 - End of Pregnancy): Final preparations for
birth, significant fetal growth, and continued maternal adaptations.
Fetal growth and development can be categorized into three stages:
, 1. Pre-embryonic Stage (First 2 Weeks): Commencing with fertilization,
the focus is on cell division and implantation.
2. Embryonic Stage (Weeks 3 - 8): Organogenesis occurs, shaping major
structures, and the foundation for vital organs is laid.
3. Fetal Stage (Week 8 - Birth):Focused on refinement and maturation of
organ systems, preparing the fetus for independent life.
Physiological and Psychological Changes in Pregnancy:
Pregnancy induces significant physiological and psychological shifts in
women. Physiologically, blood volume, cardiac output, and heart rate
increase. Respiratory rate may rise, and hormonal changes, including
elevated estrogen and progesterone levels, contribute to bodily
adaptations such as uterine enlargement, breast tenderness, and pelvic
ligament relaxation.
Symptoms and Classifications:
Pregnancy symptoms vary, categorized into three classes:
1. Presumptive (Subjective Symptoms): Include subjective experiences
reported by the patient.
2. Probable (Objective Signs):Observable indicators requiring validation.
3. Positive (Documented Signs): Definitive evidence confirming pregnancy.
The Nursing Process:
Diagnoses & Care Plans
Pregnancy Stages:
Pregnancy is divided into three trimesters, each with distinct
developmental milestones:
1. First Trimester (Week 1 - Week 12):The initial stage involving
fertilization, implantation, and early embryonic development.
2. Second Trimester (Week 13 - Week 26): A period of rapid fetal growth,
organ development, and maternal physiological adjustments.
3. Third Trimester (Week 27 - End of Pregnancy): Final preparations for
birth, significant fetal growth, and continued maternal adaptations.
Fetal growth and development can be categorized into three stages:
, 1. Pre-embryonic Stage (First 2 Weeks): Commencing with fertilization,
the focus is on cell division and implantation.
2. Embryonic Stage (Weeks 3 - 8): Organogenesis occurs, shaping major
structures, and the foundation for vital organs is laid.
3. Fetal Stage (Week 8 - Birth):Focused on refinement and maturation of
organ systems, preparing the fetus for independent life.
Physiological and Psychological Changes in Pregnancy:
Pregnancy induces significant physiological and psychological shifts in
women. Physiologically, blood volume, cardiac output, and heart rate
increase. Respiratory rate may rise, and hormonal changes, including
elevated estrogen and progesterone levels, contribute to bodily
adaptations such as uterine enlargement, breast tenderness, and pelvic
ligament relaxation.
Symptoms and Classifications:
Pregnancy symptoms vary, categorized into three classes:
1. Presumptive (Subjective Symptoms): Include subjective experiences
reported by the patient.
2. Probable (Objective Signs):Observable indicators requiring validation.
3. Positive (Documented Signs): Definitive evidence confirming pregnancy.
The Nursing Process:
