Perinatal Case Study (NUPD 706) Serena, 38 years old, is 12 weeks… P
Perinatal Case Study (NUPD 706) Serena, 38 years old, is 12 weeks… Perinatal Case Study (NUPD 706) Serena, 38 years old, is 12 weeks pregnant (confirmed through a dating Ultra Sound at 10 weeks) and arrives to her doctor’s appointment nervous about the whitish-colored vaginal discharge she has experienced x 3 days. Serena was diagnosed with primary infertility and this conception was achieved through in-vitro fertilization. What is the cause of primary infertility? (Name one female cause and one male cause) What is the cause of the vaginal discharge and what is the medical term for the discharge? Serena reports that she has morning sickness ‘all day’ and worries that vomiting will harm the baby.What is the cause of the vomiting? What is hyperemesis gravidarum and how is it treated? Serena asks the nurse which tests are completed at 12 weeks gestation and how each test is completed (i.e. blood test, swabbing, radiology). As well, Serena asks why she needs another ultra sound. List the tests Usha will receive and indicate how they are completed. Also, describe why Serena needs another Ultra Sound Use an X to indicate whether the nursing actions listed below are Indicated (appropriate or necessary), Contraindicated (could be harmful), or Non-Essential (make no difference or are not necessary) for Usha. Nursing Action Indicated Contraindicated Non-Essential Administer antiemetic as prescribed Prepare for Chorionic Villus sampling Educate Usha on a screening test versus a diagnostic test Educate Usha on the resources and supports in the community for families of infants with trisomy 18 Swab the cervix and rectum for GBS as part of the 12 week appointment Administer sedatives as prescribed for Usha’s anxiety Send Usha the grocery app for her smart phone What do you believe Serena will want from this appointment more than anything else? Health Science Science Nursing NUPD 706 Share EmailCopy link Comments (0)
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