NUR2513 Interventions for clients during pregnancy
NUR2513 Interventions for clients during pregnancy
Apply applicable nursing care interventions for clients during pregnancy, labor, and start.
State of affairs
You’re a registered nurse (RN) working in a Ladies’s OB/GYN Clinic. Elizabeth Jones, 37 years previous, presents to the prenatal clinic after lacking her final 2 menstrual cycles. Her house 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: Continual 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 12 months; (-) alcohol use
Abusive companion with first pregnancy, states she has a brand new companion x four years
Despair, at present not taking meds for remedy (tx)
Drugs: 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 despair?
Doc the concerns of your self because the skilled nurse with reference to self-awareness; pay attention to attitudes, values and beliefs that you simply maintain associated to clients from completely different social backgrounds in order that care shouldn’t be affected negatively.
What situations are in Mrs. Jones historical past that might trigger concern during pregnancy, labor, and start?
What considerations 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 growth of the subject
Provides medical examples
Embrace proof from scholarly sources
Acceptable use of medical terminology
