Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evidence-based practice in the care of diverse clients during pregnancy.
Differentiate the various components of basic physiological needs as it relates to pregnancy and health practices, including but not limited to associated concepts of.
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
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:
What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?
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.
What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?
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
Silbert-Flagg, J. (2022). Maternal & Child Health Nursing (9th ed.). Wolters Kluwer Health.
check for Plagiarism and thanks a lot.
Answer preview
One condition in Mrs. Jones’s social history that may cause complications for her pregnancy is depression. It poses a risk of the fetus’s reduced gestation period and poor neurodevelopment. Another condition present in the patient is the human papillomavirus. It may cause pregnancy concerns due to the risks of preterm birth and low birth weight (Silbert-Flagg, 2022). Also, it may cause intrauterine growth restriction and miscarriage, which threaten the pregnancy. Although colposcopy is safe during pregnancy, it may result in endocervical curettage risks. Mrs. Jones also has a history of Caesarean section for a previous pregnancy. It may pose risks during childbirth, such as uterine rupture.
