Maternal Child Nursing

Maternal Child Nursing

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. Maternal Child Nursing

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) Maternal Child Nursing

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? Maternal Child Nursing
   

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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
• 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
• Submit document through Grammarly to correct errors before submission Maternal Child Nursing

Maternal-child nursing is a specialty focused on the care of women throughout their pregnancy and childbirth and the care of their newborn children. This specialty includes obstetric nursing, perinatal nursing and pediatric nursing.

A profession in maternal-child nursing requires:

• an understanding of normal adult and pediatric physiology.
• keen assessment skills and monitoring skills. Maternal Child Nursing
• vast knowledge of obstetrics, women’s health, neonatal, perinatal and pediatric care.

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Cystic fibrosis is no longer a disease limited to childhood. With medical advancements, many patients with cystic fibrosis live into adulthood and consider becoming mothers, however available options and their reproductive decision-making process are not well understood. In this study women with cystic fibrosis describe their decision-making as they considered various options for motherhood Maternal Child Nursing

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