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Topic: Case Study – Assessment of Pregnant Client
Purpose of Assignment
- Assessment of Pregnant Client.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.
- Evaluate data and information gathered during client care, simulated scenarios, and/or case studies related to promoting nutritional health during pregnancy, nursing care strategies to address the common discomforts of pregnancy, essential components and standards of prenatal care, fetal growth and development stages in order to determine knowledge and wisdom gained through critical thought processes to optimize client outcomes and quality improvement.
- Demonstrate a basic understanding of communication practices necessary for client-centered care and interdisciplinary collaboration in terms of knowledge, skills, and attitudes.
Competency
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:
- 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:
Assessment of Pregnant Client
- A correct answer with thorough development of the topic
- 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
NO CONSIDERATION FOR PLAGIARISM
APA FORMAT AND INDEX CITATION
PLEASE WRITE FROM NURSING PROSPECTIVE.
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FOLLOW ALL Rubric Details CAREFULLY TO GAIN FULL POINTS
- Question 1
21% of total grade
Mastery: Advanced or exceeds achievement
Answers question correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.
11.55
Proficiency: Clear/effective achievement
Answers question correctly. Demonstrates solid understanding of the topic. Gives examples without research.
10.74
Competence: Adequate/basic achievement
Answers question correctly. Demonstrates basic understanding of the topic. Does not give examples.
9.7
Emerging: Limited or growing achievement
Answers question incorrectly. Demonstrates little understanding of the topic. Does not give examples.
7.51
- Questions 2 & 3
21% of total grade
Mastery: Advanced or exceeds achievement
Answers question correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.
11.55
Proficiency: Clear/effective achievement
Answers question correctly. Demonstrates solid understanding of the topic. Gives examples without research.
10.74
Competence: Adequate/basic achievement
Answers question correctly. Demonstrates basic understanding of the topic. Does not give examples.
9.7
Emerging: Limited or growing achievement
Answers question incorrectly. Demonstrates little understanding of the topic. Does not give examples.
7.51
- Question 4
21% of total grade
Mastery: Advanced or exceeds achievement
Answers question correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.
11.55
Proficiency: Clear/effective achievement
Answers question correctly. Demonstrates solid understanding of the topic. Gives examples without research.
10.74
Competence: Adequate/basic achievement
Answers question correctly. Demonstrates basic understanding of the topic. Does not give examples.
9.7
Emerging: Limited or growing achievement
Answers question incorrectly. Demonstrates little understanding of the topic. Does not give examples.
7.51
- Tone
18% of total grade
Mastery: Advanced or exceeds achievement
Uses consistent professional tone with excellent use of medical terminology.
9.9
Proficiency: Clear/effective achievement
Tone is professional. Good use of medical terminology.
9.21
Competence: Adequate/basic achievement
Tone is professional. Inconsistent use of medical terminology.
8.32
Emerging: Limited or growing achievement
Tone is consistently unprofessional with poor use of medical terminology.
6.44
- Spelling and Grammar
10% of total grade
Mastery: Advanced or exceeds achievement
Demonstrates an exemplary application of spelling and grammar.
5.5
Proficiency: Clear/effective achievement
Displays proper grammar application and writing contains minimal to no spelling errors. May contain rare improper uses of words (ex., their vs. there), a misplaced modifier, or a run-on sentence, but does not detract from the overall understanding of the sentence and/or paragraph.
5.12
Competence: Adequate/basic achievement
Spelling and grammar errors occur but are inconsistent. Paragraphs and sentences are coherent but may exhibit spelling errors, run-on’s or fragments, and/or improper verb tense usage.
4.62
Emerging: Limited or growing achievement
Spelling and grammar contain substantial errors that makes sentences and/or paragraphs incoherent.
3.58
- APA Style
9% of total grade
Mastery: Advanced or exceeds achievement
APA citations are free of style and formatting errors.
4.95
Proficiency: Clear/effective achievement
Errors in APA citations are less noticeable and do not detract from the ability to locate the original source (for example, a missing or misused comma or period, missing parentheses, author name not properly abbreviated, indentation is misaligned).Assessment of Pregnant Client
4.6
Competence: Adequate/basic achievement
Errors in APA citations are noticeable and may detract from the ability to locate the original source (for example, no title provided, year of publication is missing, no punctuation).
4.16
Emerging: Limited or growing achievement
Citations do not follow APA Style. Quotations, paraphrases, and summaries are not cited, or there is no attempt to cite them using APA style. Need high scores click here
3.22