Maternal-Youngster Nursing
Module 03 Case Study – Assessment of Pregnant Client
Apply applicable nursing care interventions for purchasers throughout being pregnant, labor, and start.
State of affairs
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 residence being pregnant take a look at was optimistic. An ultrasound on the clinic confirms being pregnant. 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 (3 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: Continual hypertension (HTN) x 5 years;
Allergy symptoms: Penicillin
Social historical past:
• (+) tobacco, “occasional” per shopper (pt), <5 per/day at present, has smoked “on and off” for 15 years
• (+) cocaine use, states she has not used any cocaine/medicine for > 1 yr; (-) alcohol use
• Abusive accomplice with first being pregnant, 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 situation that solutions the next questions:
1. What ought to the nurse contemplate associated to caring for a shopper with a historical past of home abuse, drug use, sexually transmitted illnesses and despair?
2. Doc the concerns of your self because the skilled nurse with regard to self-awareness; remember of attitudes, values and beliefs that you just maintain associated to purchasers from totally different social backgrounds in order that care will not be affected negatively.
3. What situations are in Mrs. Jones historical past that might trigger concern throughout being pregnant, labor, and start?
four. What considerations needs to 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
• Embrace proof from scholarly sources
• Acceptable use of medical terminology
Format
• Normal American English (right grammar, punctuation, and so forth.)
• Logical, unique and insightful
• Skilled group, fashion, and mechanics in APA format
Please give References
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Nursing of a mom and her little one
Module 3 Case Study – Pregnant Client Assessment
Throughout being pregnant, labor, and start, present applicable nursing care interventions to purchasers.
State of affairs
You’re employed in a Girls’s OB/GYN Clinic as a registered nurse (RN). After lacking her final two menstrual cycles, Elizabeth Jones, 37, visits the prenatal clinic. Her being pregnant take a look at at residence got here again optimistic. The being pregnant is confirmed by an ultrasound on the clinic. The gestational age of a child is estimated to be 10 weeks. The next is an preliminary Assessment of Ms. Jones’s medical and obstetrical historical past.
OB/GYN (obstetric/gynecologic) historical past: Uncomplicated spontaneous vaginal supply at 39.2 weeks (3 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
