Page 138 - ترم ثاني كتاب تمريض صحة الام الكتروني

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7). Minor Discomforts and Nursing Intervention

During pregnancy a number of minor complaints may arise these are annoying but

don't disable the pregnant woman. The majority of these symptoms are the result of large

amount of placental hormones particularly estrogen and progesterone.

Assessment of common minor discomfort during pregnancy

1) FIRST TRIMESTER:

A) Nausea and vomiting

Generally occur early in pregnancy and subside by the fourth month of pregnancy.

• Causes:

− Increased estrogen level in the blood.

− Decreased glucose levels.

− Fatigue .

− Emotional factors.

• Nursing Management

− Encourage the woman to eat small frequent meals.

− Encourage her to eat a piece of dry toast or some crackers before getting out
of bed.

− Instruct her to avoid foods or situations that worsen the nausea.

− Suggest that carbohydrate containing foods are usually tolerated best.

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