NUR2513 Interventions for clients during pregnancy
Apply acceptable nursing care interventions for clients during pregnancy, labor, and delivery.
Situation
You’re a registered nurse (RN) working in a Girls’s OB/GYN Clinic. Elizabeth Jones, 37 years previous, presents to the prenatal clinic after lacking her final 2 menstrual cycles. Her dwelling pregnancy take a look at was constructive. An ultrasound on the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An preliminary Assessment of Ms. Jones’s medical and obstetrical historical past is as follows.
Obstetric/Gynecologic (OB/GYN) historical past: Uncomplicated spontaneous vaginal supply at 39.2 weeks (three years in the past); Cesarean part x 1 at 37.5 weeks for non-reassuring fetal coronary heart tones (1.5 years in the past); irregular Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy inside regular limits
Medical historical past: Persistent hypertension (HTN) x 5 years;
Allergy symptoms: Penicillin
Social historical past:
(+) tobacco, “occasional” per consumer (pt), <5 per/day at present, has smoked “on and off” for 15 years
(+) cocaine use, states she has not used any cocaine/medication for > 1 yr; (-) alcohol use
Abusive accomplice with first pregnancy, states she has a brand new accomplice x four years
Melancholy, at present not taking meds for remedy (tx)
Medicines: Prenatal nutritional vitamins; Labetalol 200mg BID;
Household historical past: Insulin-dependent diabetes mellitus (mom); HTN and coronary heart illness (father); breast most cancers (maternal grandmother, deceased)
Directions
Write a two to three-page Assessment of this state of affairs that solutions the next questions:
What ought to the nurse contemplate associated to caring for a consumer with a historical past of home abuse, drug use, sexually transmitted ailments and melancholy?
Doc the concerns of your self because the skilled nurse with reference to self-awareness; concentrate on attitudes, values and beliefs that you simply maintain associated to clients from completely different social backgrounds in order that care is just not affected negatively.
What circumstances are in Mrs. Jones historical past that will trigger concern during pregnancy, labor, and delivery?
What issues must be mentioned with Ms. Jones earlier than she leaves her appointment?
Every reply to your Question Assignment ought to embrace the next:
An accurate reply with thorough improvement of the subject
Offers scientific examples
Embody proof from scholarly sources
Applicable use of medical terminology
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NUR2513 Pregnancy Interventions for Clients
NUR2513 Pregnancy Interventions for Clients
During pregnancy, labor, and delivery, present acceptable nursing care interventions to clients.
Situation
You’re employed as a registered nurse (RN) in a Girls’s OB/GYN Clinic. Elizabeth Jones, 37, attends a prenatal clinic after lacking her final two menstrual durations. Her dwelling pregnancy take a look at resulted in a constructive consequence. Pregnancy is confirmed with an ultrasound on the clinic. The gestational age is set to be 10 weeks. The next is an early Assessment of Ms. Jones’s medical and obstetrical historical past.
OB/GYN (obstetric/gynecologic) historical past: Uncomplicated spontaneous vaginal supply at 39.2 weeks (three years in the past); Cesarean part x 1 at 37.5 weeks for unsettling fetal coronary heart tones (1.5 years in the past); irregular Papanicolau (PAP) smear x2, + human papillomavirus (HPV) smear
