PREGNANCY IHP Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? 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Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Imbalanced Nutrition: Less than Body Requirements Related to increased nutritional demands during pregnancy Related to nausea or vomiting (morning sickness) impacting appetite Related to lack of knowledge regarding appropriate nutrition during pregnancy Interventions The school nurse will provide education on the importance of balanced nutrition during pregnancy, including necessary caloric and nutrient intake (e.g., folic acid, iron, calcium). The school nurse will encourage small, frequent meals and snacks if nausea is a problem. The school nurse will collaborate with a dietitian to develop a meal plan that ensures adequate nutrition while considering the student's preferences and lifestyle. The school nurse will educate the student on the use of prenatal vitamins to support fetal development. Expected Outcomes The student will demonstrate understanding of appropriate nutritional requirements for pregnancy and maintain a balanced diet. The student will experience reduced symptoms of nausea and maintain or achieve an appropriate weight for pregnancy. The student will adhere to taking prenatal vitamins and report improvement in overall nutritional intake. Nursing Diagnosis: Fatigue Related to increased energy demands due to pregnancy Related to disrupted sleep patterns related to physical discomfort Related to balancing academic responsibilities with pregnancy-related changes Interventions The school nurse will encourage the student to balance academic responsibilities with adequate rest, suggesting naps or periods of relaxation when needed. The school nurse will educate the student on proper sleep hygiene techniques, such as maintaining a consistent sleep schedule and creating a comfortable sleeping environment. The school nurse will collaborate with teachers to adjust the student's academic workload or schedule if fatigue is interfering with performance. The school nurse will recommend light physical activity, such as walking or prenatal yoga, to help maintain energy levels. Expected Outcomes The student will report improved energy levels and fewer episodes of fatigue. The student will implement rest periods and relaxation techniques to manage fatigue effectively. The student will maintain academic performance while managing pregnancy-related fatigue. Nursing Diagnosis: Risk for Imbalanced Fluid Volume Related to increased fluid needs during pregnancy Related to nausea, vomiting, or reduced fluid intake Related to potential for dehydration, especially in hot weather or after physical activity Interventions The school nurse will educate the student on the importance of maintaining adequate hydration during pregnancy, aiming for at least 8–10 cups of water daily. The school nurse will encourage the student to drink small amounts of water frequently throughout the day if nausea or vomiting occurs. The school nurse will monitor for signs of dehydration, such as dry mouth, dizziness, or decreased urine output, and intervene accordingly. The school nurse will provide alternatives for hydration, such as flavored water, herbal teas, or electrolyte solutions, if plain water is not well tolerated. Expected Outcomes The student will demonstrate understanding of the importance of hydration and maintain adequate fluid intake. The student will report fewer symptoms of dehydration and remain well-hydrated throughout pregnancy. The student will experience reduced nausea or vomiting, allowing for better fluid intake. Nursing Diagnosis: Knowledge Deficit (regarding pregnancy and prenatal care) Related to lack of experience with pregnancy and childbirth Related to limited understanding of prenatal care and its importance for maternal and fetal health Related to inadequate knowledge of available healthcare resources Interventions The school nurse will provide comprehensive education on the importance of prenatal care, including regular check-ups, screenings, and fetal development milestones. The school nurse will teach the student about signs of potential pregnancy complications, such as preterm labor, gestational diabetes, and preeclampsia, and when to seek medical help. The school nurse will connect the student with prenatal care providers, community resources, and education programs for expectant mothers. The school nurse will encourage the student to attend childbirth education classes to prepare for labor, delivery, and postpartum care. Expected Outcomes The student will demonstrate understanding of the importance of regular prenatal care and attend scheduled check-ups. The student will recognize signs of pregnancy complications and seek medical attention as needed. The student will report increased confidence in managing pregnancy and accessing available healthcare resources. Nursing Diagnosis: Disturbed Body Image Related to physical changes associated with pregnancy, such as weight gain and body shape changes Related to fear of peer judgment or social stigma due to pregnancy Related to low self-esteem or concerns about attractiveness Interventions The school nurse will provide emotional support and allow the student to express concerns related to body image and self-esteem. The school nurse will educate the student about normal physical changes during pregnancy and emphasize the importance of these changes for the health of the baby. The school nurse will encourage participation in activities that promote positive self-esteem and personal growth, rather than focusing solely on physical appearance. The school nurse will collaborate with school counselors to address any concerns related to social stigma or bullying due to the pregnancy. Expected Outcomes The student will verbalize acceptance of physical changes associated with pregnancy and express positive self-esteem. The student will demonstrate greater confidence in managing social interactions and school activities despite physical changes. The student will participate in supportive activities that promote self-esteem and personal well-being. Nursing Diagnosis: Risk for Interrupted Schooling Related to fatigue, physical discomfort, or pregnancy complications interfering with school attendance Related to emotional stress or social stigma affecting academic performance or participation Related to potential for early delivery or need for bed rest Interventions The school nurse will collaborate with teachers and school staff to develop an individualized education plan (IEP) that accommodates the student's pregnancy needs, such as flexible deadlines or modified attendance policies. The school nurse will encourage the use of virtual learning or home tutoring options if the student is unable to attend school in person. The school nurse will work with school counselors to address any emotional challenges or barriers to academic success due to pregnancy. The school nurse will provide information on maternity leave options and support for returning to school after childbirth. Expected Outcomes The student will maintain academic performance and attendance with appropriate accommodations for pregnancy-related challenges. The student will demonstrate continued engagement in learning, whether in-person or virtually, and progress toward educational goals. The student will have a plan for completing the school year and transitioning back to school after childbirth, if necessary. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. Do you want to include physician and parent signature lines? Yes Download IHP Clicking this button will download this IHP to your computer and return you to the blank IHP. 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