GEORGIA BAPTIST COLLEGE OF NURSING
OF MERCER UNIVERSITY
NUR 330 Nursing Care of the Childbearing Family
Unit 3: Holistic Care of the Antepartal Client
Lesson Plan 3.1
Physical and Psychosocial Adaptation to Pregnancy
Lesson Outcomes: Upon completion of this lesson, the learner will:
1.
Identify presumptive, probable, and positive indicators of pregnancy. (C5)
2.
Relate indicators of pregnancy to specific physiologic changes of pregnancy.
(C5)
3.
Describe the physiologic responses of each body system to pregnancy. (C5)
4.
Explain the relationship between placental and fetal development with
physiologic changes in the mother. (C5)
5.
Relate concepts from research to the changes in the expectant family. (C4)
6.
Utilize concepts related to physical adaptation of pregnancy in anticipatory
guidance with families. (C2)
7.
Describe the psychosocial and cultural responses to pregnancy. (C4, 6)
8.
Recognize signs of abuse in the pregnant client. (C2)
9.
Identify appropriate interventions for the client experiencing intimate partner
violence. (C14, 15)
9.
Relate physiologic change of pregnancy to psychosocial response to
pregnancy. (C8, 5)
10.
Discuss the psychosocial adaptation to pregnancy from maternal, paternal,
and sibling perspective. (C4)
11.
Use developmental theory in describing the preparation of children for birth in
the family. (C4)
12.
Review the nutritional needs of the childbearing woman. (C6, 8)
13.
Discuss community-based needs during pregnancy. (C18)
Content Outline:
1.
Indicators of pregnancy
1.1. Presumptive indicators
1.2. Probable indicators
1.3. Positive indicators
2.
Biophysical changes of pregnancy
2.1
Hormonal regulation
2.1.1. Fetoplacental hormone production
2.1.2. Pituitary and thyroid changes
2.2
Reproductive system changes
2.2.1. Uterus
2.2.2. Cervix
2.2.3. Perineum
2.2.4. Ovaries
2.2.6. Breasts
2.3.
Circulatory changes
2.3.1. Blood volume
2.3.2. Cardiac output
2.3.3. Blood pressure
2.4.
Oxygenation/respiratory changes
2.5.
Gastrointestinal changes
2.5.1. Mouth and teeth
2.5.2. Esophagus, stomach, and intestine
2.6.
Renal system changes
2.6.1. Renal function and structure
2.6.2. Elimination
2.7.
Metabolic changes
2.7.1. Weight changes
2.7.2. Nutrient & water needs and metabolism
2.7.3. Mineral and vitamin needs and metabolism
2.8.
Physical integrity changes
2.8.1. Skin
2.8.2. Sweat and sebaceous glands
2.8.3. Skeletal system adaptation
2.9.
Immune system changes
3.
Pregnancy as role transition & developmental crisis
4.
Influence of culture on transition and adaptation to pregnancy
5.
Intimate partner abuse during pregnancy
6.
Psychological changes of pregnancy
6.1
Maternal
6.1.1. Psychological tasks of pregnancy
6.1.2. Emotional responses to pregnancy during trimesters
6.1.3. Pregnancy as a social role
6.1.4. Concepts of body image
6.2. Paternal
6.2.1. Psychological tasks
6.2.2. Emotional responses to pregnancy
6.3. Siblings
6.3.1. Role transition & developmental considerations
6.3.2. Anticipatory guidance
Teaching/Learning Activities:
1.
2.
Assigned reading
Lecture and discussion
Critical Thinking Focus:
1.
Analyze a prenatal client's diet for adequacy and suggest acceptable changes
in her diet to improve nutritional intake.
2.
Analyze a client’s prenatal record for pattern of weight gain, quickening, &
auscultation of fetal heart tones.
3.
Develop an approach to engage each member of the childbearing family in
prenatal care.
Required Readings:
Murray, S. S., & McKinney, E. S. (2006). Foundations of maternal-newborn nursing
(4th ed., pp. 109-127, 151-171, 173-199, 613-619). Philadelphia: W. B.
Saunders.
Suggested Readings:
Fowler, E. K. (2004). Prenatal nutrition and birth outcomes. JOGNN: Journal of
Obstetrics, Gynecologic, and Neonatal Nursing, 33(6), 809-822.
Kuo, S., Wang, R., Tseng, H., Jian, S., Chou, F. (2007). A comparison of different
severities of nausea and vomiting during pregnancy relative to stress, social
support, and maternal adaptation. Journal of Midwifery & Women’s Health,
52(1), e1-7.
Renker, P. R. (2006). Perinatal violence assessment: Teenagers’ rationale for
denying violence when asked. JOGNN: Journal of Obstetric, Gynecologic,
and Neonatal Nursing, 35(1), 56-67.
Savage, C. L. (2007). The culture of pregnancy and infant care in African American
women: An ethnographic study. Journal of Transcultural Nursing, 18(3), 215223.
Silverman, J. G., Decker, M. R., Reed, E. & Raj, A. (2006). Intimate partner violence
victimization prior to and during pregnancy among women residing in 26 U.S.
States: associations with maternal and neonatal health. American Journal of
Obstetrics & Gynecology, 195(1), 140-148.
LP3-1AnteADAPT"
1/98/KH
Revised: 5/99/EL; 5/00/EL; 1/01 EL; 5/01 EL; 5/02 EL; 6/03 KH; 12/04RML, 12/05 RML, 12/06 SLS,
12/07 SLS