STD

• Obtain a medical history and physical examination

• Assess for probable sign and symptoms
• Assess for the probable risk factor
• Have the patient to have vaginal culture or microscopic analysis of vaginal
discharge to determine the microorganism present.
• Stress out that regular PAP smear exam can help rule out the disease.
• Administer appropriate medication that is need for the specific disease.
• Provide knowledge about safe sex practice and use of condoms.
• If a women infected by genital herpes has active genital herpes lesions at the time
of delivery, a cesarean section is often recommended to protect the newborn
against infection.

Cardiovascular disorders and pregnancy

• Promote rest to lessen the strain of increased burden of the pregnancy on her
heart.
• Advise to position left lateral recumbent to prevent supine hypotension and
increased heart rate.
• Promote healthy nutrition to gain enough weight to ensure healthy pregnancy and
a healthy baby.
• Emphasize importance of taking prenatal vitamin like iron to prevent anemia.
• Educate regarding medication
• Educate regarding avoidance of infection

Anemia
• Encourage to take prenatal vitamins like iron supplement to prevent anemia
• Iron is best absorb with vitamin C or orange juice
• To prevent sickle cell crisis include periodic exchange transfusions throughout
pregnancy to replace sickle cell with normal cell.
• Administer O2 as needed to control pain
• Advise to begin a supplement of 400mg folic acid and increase to 600mg/day
during pregnancy
• Advise to eat folacin rich food (green leafy food, oranges, dried beans

Renal and Urinary Disorders

• Administer safe antibiotics during pregnancy
• Increase fluid intake to flush out the infection from urinary tract
Gestational Diabetes Mellitus
• Eat a healthy diet. Usually controlling carbohydrates is an important part of a
healthy diet for women with gestational diabetes because carbohydrates affect
blood sugar.

• Keep a healthy weight -The amount of weight gain that is healthy for you will
depend on how much you weighed before pregnancy. It is important to track your
both your overall weight gain and weekly rate of gain.

• Keep daily records of your diet, physical activity, and glucose level

• Monitor blood glucose

• Advise to have a low carbohydrate diet.

• Get regular, moderate physical activity; it can help control blood sugar levels.

• Keep a healthy weight; amount of weight gain will depend on how much you
weighed before pregnancy.

• Keep daily records of your diet, physical activity, and glucose

• Educate regarding nutrition during pregnancy

• Educate regarding exercise during pregnancy

• Post partum adjustment

Hypertension
• Promote bed rest, sodium tends to secrete faster rate than during activity and
should be lateral position to prevent supine hypotension.

• Promote good nutrition, restrict sodium was advised to reduce edema and might
increase BP

• Monitor maternal well being, take BP every 4 hours to detect any increase.

• Monitor fetal well being, a Doppler is use to monitor the fetal heart rate