NUR2513 Interventions for clients during pregnancy

NUR2513 Interventions for clients during pregnancy

Apply acceptable 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 Elizabeth Jones, 37 years outdated, presents to the prenatal clinic after lacking her final 2 menstrual cycles. Her dwelling pregnancy check 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: Persistent hypertension (HTN) x 5 years;

Allergy symptoms: Penicillin

Social historical past:
(+) tobacco, “occasional” per shopper (pt), <5 per/day presently, has smoked “on and off” for 15 years
(+) cocaine use, states she has not used any cocaine/medicine for > 1 yr; (-) alcohol use
Abusive associate with first pregnancy, states she has a brand new associate x four years
Despair, presently not taking meds for therapy (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:

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?
Doc the concerns of your self because the skilled nurse with reference to self-awareness; concentrate on attitudes, values and beliefs that you just maintain associated to clients from totally different social backgrounds in order that care isn’t affected negatively.
What circumstances are in Mrs. Jones historical past that might trigger concern during pregnancy, labor, and start?
What considerations ought to 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 improvement of the subject
Provides scientific examples
Embrace proof from scholarly sources
Acceptable use of medical terminology

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NUR2513 Pregnancy Interventions for Clients
NUR2513 Pregnancy Interventions for Clients

During pregnancy, labor, and start, present acceptable nursing care interventions to clients.

State of affairs

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 durations. Her dwelling pregnancy check 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