The comments on the question explain some of the perils of using Management Studio to make schema changes, so I won't get into that.
What I want to show is how to accomplish what you're asking using T-SQL:
ALTER TABLE [dbo].[MyTable]
ADD NewColumn int NOT NULL
FOREIGN KEY REFERENCES [dbo].[MyOtherTable](Id);
The syntax is extremely powerful as you can create multiple constraints (
PRIMARY KEY, etc.) on the same column using this syntax (even named constraints as I demonstrated above). The best part is that it's an atomic operation, so if any part of it fails, the whole thing rolls back automatically.
ALTER TABLE documentation on MSDN for more information.