being pregnant, labor, and start.
Situation
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 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 (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 Papanicolaou (PAP) smear x2, + human papilloma virus (HPV), colposcopy inside regular limits
Medical historical past: Continual hypertension (HTN) x 5 years.
Allergic reactions: Penicillin
Social historical past:
· (+) tobacco, “occasional” per consumer (pt.), <5 per/day at the moment, has smoked “off and on” for 15 years
· (+) cocaine use, states she has not used any cocaine/medication for > 1 yr; (-) alcohol use
· Abusive associate with first being pregnant, states she has a brand new associate x four years
· Melancholy, at the moment 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:
1. 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?
2. Doc the concerns of your self because the skilled nurse in regard to self-awareness; concentrate on attitudes, values, and beliefs that you simply maintain associated to purchasers from completely different social backgrounds in order that care is just not affected negatively.
three. What situations are in Mrs. Jones historical past that will trigger concern throughout being pregnant, labor, and start?
four. What considerations must be mentioned with Ms. Jones earlier than she leaves her appointment?
Every reply to your Question Assignment ought to embody the next:
· An accurate reply with thorough growth of the subject
· Offers medical examples
· Embrace proof from scholarly sources
· Applicable use of medical terminology
Format
· Normal American English (appropriate grammar, punctuation, and so forth.)
· Logical, authentic and insightful
· Skilled group, model, and mechanics in APA format
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Being pregnant, labor, and supply
Situation
You’re employed as a registered nurse (RN) in a Ladies’s OB/GYN Clinic. Elizabeth Jones, 37, attends a prenatal clinic after lacking her final two menstrual cycles. Her residence being pregnant take a look at resulted in a optimistic end result. Being pregnant is confirmed by an ultrasound on the clinic. The gestational age is decided 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 (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 Papanicolaou (PAP) smear x2, + human papilloma virus (HPV), colposcopy inside regular limits
Medical historical past: 5 years of continual hypertension (HTN).
Penicillin Allergic reactions
Social historical past:
· (+) tobacco, “occasional” per consumer
