arah (age 19 years old and in the first year at the university) is experiencing her first pregnancy. Her first day of last period was on 27/05/2023. She attended a prenatal appointment at the obstetric clinic on 27/09/2023. Mahrah accommodates with her mother and 14-year-old sister after becoming a widow two months ago. Marah questions the nurse about health issues and mortality rate during pregnancy. what are 2 Enumerate 3 emotional and social challenges that Mahrah could potentially encounter as a young, single-mother residing at home
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- Tracy is a 25-year-old woman, Roman Catholic, from a semi-remote First Nation Community, L.A., Laguna. She is 37weeks pregnant, 65 kgs and attending a prenatal visit with her community nurse today. This is her third pregnancy and she has attended all previous visits with her mother and/or Frank, the father of her baby. She stated that she experience minimal vaginal discharge, with mild contraction.Tracy is very quiet and makes limited eye contact during visit. Tracy’s pregnancy has been fairly uneventful. Laboratory values (Complete blood count (CBC), hepatitis B Screening (HBSag) ,Urinalysis(UA), ABO typing) and vital signs have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. During her visit the nurse told her the labor signs and symptoms and when to go for hospitalization. I. Using the information above: Make a Nursing Care PlanTracy is a 25-year-old woman, Roman Catholic, from a semi-remote First Nation Community, L.A., Laguna. She is 37weeks pregnant, 65 kgs and attending a prenatal visit with her community nursetoday. This is her third pregnancy and she has attended all previous visits with her mother and/or Frank, the father of her baby. She stated that she experience minimal vaginal discharge, with mild contraction.Tracy is very quiet and makes limited eye contact during visit. Tracy’s pregnancy has been fairly uneventful. Laboratory values (Complete blood count (CBC), hepatitis B Screening (HBSag) ,Urinalysis(UA), ABO typing) and vital signs have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. During her visit the nurse told her the labor signs and symptoms and when to go for hospitalization.Mrs. Vanessa Narciso 25-year-old G1PO who seek consult for the first time at 20 weeks age of gestation is being taken care of by an obstetric nurse. A priority goal for Mrs. Vanessa is that able to: Attend prenatal care appointments on a regular basis Explain the process of fetal development Record the number of the fetal movements 4 times a day Maintain a steady weight gain
- Case Scenario As the nurse working on a postpartum unit, you are caring for Mark and Mara, who have just become parents of n 7 lb and 2 oz baby boy. As you prepare them for discharge, you notice that they seem overwhelmed with much of information being provided. Mara says, “ Maybe my breast are too small and the baby can’t get enough milk.” She added, “I am hoping that if I breastfeed, I won’t have to worry about birth control for a while.” GUIDE QUESTIONS: The couple needs health teaching in a number of areas. Which subject would you begin with? Why?Explain how can breastfeeding prevent pregnancy? How can you best explain this to the couple?Mrs. Zexy Lucero, 25 years old, G1PO, 39 4/7 weeks age of gestation is in labor. Internal examination revealed: cervix 5-6 cms dilated, 50% effaced, cephalic, Station 0, (+) BOW. External fetal monitoring revealed a variable decelerations. Nurse Zasha is preparing for cesarean birth. Which of the following activities should not be implemented without clarification by Nurse Zasha? (Select all that apply) Slow the intravenous flow rate. Continue the oxytocin drip if infusing. Place the client in a high Fowler's position Administer oxygen, 8 to 10 L/ minute, via face maskOlivia Jones is a 23-year-old, single, African-American female, G1 P0000 at 36 0/7 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance. The patients blood type is O+. The patient is negative for HIV and Hepatitis B. Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. She has gained 3 pounds since prenatal visit 1 week ago. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial puffiness. Ms. Jones is complaining of a headache that is not resolved with acetaminophen. She presents with nausea and fatigue and complaining of epigastric pain, visual changes, and chest tightness. The fetus is active; however, patient states that it is a…
- A 29 y/o, G3P2, 35 weeks gestation presents for prenatal care. She complains of on and off scanty vaginal bleeding not associated with other signs and symptom. Your impression is placenta previa. The simplest, most precise and safest method to confirm your diagnosis is which of the following? Sonography Magnetic resonance imaging Computed tomography Double set-up examinationA group of student-nurses are about to conduct a community diagnosis. Which of the following activity is necessary during the first stage? Refer Julia immediately to an OBGyn doctor and have her checked in a hospital since she has high risk pregnancy Assist the family in providing adequate care to Julia by doing a daily home visit and Leopold’s Maneuver Discuss to Julia’s family the importance of regular prenatal check-ups Emphasize to Julia that health center services are freeOn performing Leopold’s maneuver on a multiparous client in early labor, the nurse finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. The nurse notifies the obstetrician. Which of the following is safe to assume? - Footling breech - Occiput presentation- Transverse lie- Compound presentation
- Nurse Zasha in the Obstetrical Unit is monitoring Mrs. Zexy Lucero, 25 years old. G1P0. Internal examination revealed 5cm cervical dilatation, 50% effaced, +(BOW). Station 0, cephalic with a prolongation disorder for signs of fetal or maternal compromise. Which of the following assessment findings should not alert Nurse Zasha to a compromise? (Select all that apply) Coordinated uterine contractions Persistent nonreassuring fetal heart rate Maternal fatigue Uncoordinated uterine contractions Progressive changes in the cervixMrs. Vanessa Narciso , 22 year old Gravida 1 Para 1 delivered spontaneously to a live Isaby girl weighing 3,600 grams. Immediate postpartal care is done by Nurse Marina who is assigned to her. After the delivery has been completed, the following Interventions are done, except which of the following? Monitor her VS (every 10-15 mins) Lower her legs from the stirrups one after the another Cover her with blanket to avoid chilling Linen under her buttocks are replaced with a sterile perineal pad.Heather Shane, a 26 y.o. G1P0, presents to the labor unit for elective induction of labor at 39 weeks gestation. She has with her the following admission orders: Admit to labor unit for elective IOL LR at 125 mL/hr after initial bolus of 500 mL SVE q 2 hrs O2 via facemask at nurse discretion Cytotec 25.0 mcg buccal q 4 hrs Pitocin 2 mg/min after 4cm dilated max 30 mu/min Regular diet until active labor PCN 5 million units initial dose and 2.5 million units q 4 hrs until delivery IV Cont. EFM IUPC/FSE as needed per RN Call with VS out of range Methergine 0.2 mg IM PRN bleeding Carboprost 250 mcg IV PRN bleeding Pitocin 20 units IV bolus at delivery of placenta Upon placing Mrs. Shane on the monitor you note FHR in the 130’s with good variability and occasional variable decels. She reports a history that includes gestational hypertension that she takes medication for. She denies being able to recall name of medication, but knows that it is 200 mg by mouth once in the morning and…