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Posted: October 24th, 2022
Elizabeth Jones, 37 years old,
Objective of Task
-Make the most of the suitable expertise and/or references/sources, demonstrating correct use, with a purpose to entry dependable information and knowledge that help evidence-based follow within the care of numerous shoppers throughout being pregnant.
-Differentiate the varied parts of primary physiological wants because it pertains to being pregnant and well being practices, together with however not restricted to related ideas of.
– Consider information and knowledge gathered throughout consumer care, simulated eventualities, and/or case research associated to selling dietary well being throughout being pregnant, nursing care methods to handle the widespread discomforts of being pregnant, important parts and requirements of prenatal care, fetal development and growth levels with a purpose to decide data and knowledge gained by means of vital thought processes to optimize consumer outcomes and high quality enchancment.
-Show a primary understanding of communication practices needed for client-centered care and interdisciplinary collaboration by way of data, abilities, and attitudes. Consider information and knowledge gathered throughout consumer care, simulated eventualities, and/or case research associated to selling dietary well being throughout being pregnant, nursing care methods to handle widespread being pregnant discomforts, important parts and requirements of prenatal care, fetal development and growth levels, and fetal development and growth levels with a purpose to decide data and knowledge gained by means of vital thought processes to optimize consumer outcomes and high quality enchancment.
–
By way of data, abilities, and attitudes, show a basic consciousness of communication methods required for client-centered care and interdisciplinary teamwork.
Competency
Apply acceptable nursing care interventions for shoppers throughout being pregnant, labor, and delivery.
Situation
You’re a registered nurse (RN) working in a Girls’s OB/GYN Clinic. Elizabeth Jones, 37 years outdated, presents to the prenatal clinic after lacking her final 2 menstrual cycles. Her residence being pregnant check 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 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 the moment, 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 being pregnant, states she has a brand new companion x four years
Despair, at the moment not taking meds for therapy (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 situation that solutions the next questions:
1.What ought to the nurse take into account associated to caring for a consumer with a historical past of home abuse, drug use, sexually transmitted illnesses and melancholy?
2.Doc the issues of your self because the skilled nurse with reference to self-awareness; concentrate on attitudes, values and beliefs that you simply maintain associated to shoppers from totally different social backgrounds in order that care will not be affected negatively.
three.What situations are in Mrs. Jones historical past that might trigger concern throughout being pregnant, labor, and delivery?
four. What issues 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 scientific examples
Embrace proof from scholarly sources
Acceptable use of medical terminology
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