Module 03 Case Study – Assessment of Pregnant Client

Maternal-Child Nursing

Module 03 Case Study – Assessment of Pregnant Client

Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.

Scenario
You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

Social history:
• (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years
• (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use
• Abusive partner with first pregnancy, states she has a new partner x 4 years
• Depression, currently not taking meds for treatment (tx)

Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

Instructions
Write a two to three-page analysis of this scenario that answers the following questions:
1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?
2. Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.
3. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?
4. What concerns should be discussed with Ms. Jones before she leaves her appointment?

Each answer to your question should include the following:
• A correct answer with thorough development of the topic (sample nursing essay examples by the best nursing assignment writing service)
• Gives clinical examples
• Include evidence from scholarly sources
• Appropriate use of medical terminology

Format
• Standard American English (correct grammar, punctuation, etc.)
• Logical, original and insightful
• Professional organization, style, and mechanics in APA format

Please give References

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Nursing of a mother and her child

Module 3 Case Study – Pregnant Client Assessment

During pregnancy, labor, and birth, provide appropriate nursing care interventions to clients.

Scenario
You work in a Women’s OB/GYN Clinic as a registered nurse (RN). After missing her last two menstrual cycles, Elizabeth Jones, 37, visits the prenatal clinic. Her pregnancy test at home came back positive. The pregnancy is confirmed by an ultrasound at the clinic. The gestational age of a baby is estimated to be 10 weeks. The following is an initial assessment of Ms. Jones’s medical and obstetrical history.

OB/GYN (obstetric/gynecologic) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within