Question Stimulation Scenario #1 Pregnancy Client ProfileCase Study

Question Stimulation Scenario #1 Pregnancy Client ProfileCase Study Simulation Scenario #2 Newborn AssessmentJean Marie Bowberry is a 36-year-old married female seeing the doctor to confirm a positive home pregnancy test. She arrives in the clinic with her husband, Tom, a correctional officer. Jean Marie works full time as an accountant in Toronto. She had an abortion 10 years ago and another miscarriage two years ago. She complains of tender breasts and intermittent nausea. Her last menstrual period was November 16th 2019. In assessing Jean’s nutrition, the nurse finds that she is having 1-2 glasses of wine each night with dinner. Also, she states, “Milk makes me sick, I cannot stand the sight or smell of it.” Tom tells the nurse that an Alpha – fetoprotein test was done; they were told that it was abnormal. Jean Marie is scheduled for an amniocentesis. When asked by the nurse if she has questions about the test, Jean Marie says, “I’m afraid the baby will be stuck with the needle and how will I stop the fluid from leaking out?”As Jean Marie is leaving the office to make her next appointment she says, “You mean I do not need to see anyone for a whole month? What if something goes wrong, how will I know?”Questions1. What methods are available to confirm pregnancy and calculate her gestational age of pregnancy?2. If it was determined she was 8 weeks pregnant, how would you access the fetal heart tones (FHT)?3. Describe some of the physiological and anatomical changes in her pregnancy?4. What is Jean Marie’s gravida, parity, G/TPAL, and due date?5. Should Jean Marie modify her diet to support her pregnancy? If so, how?6. What are the implications of the alpha- fetoprotein (AFP) test and when is the alpha- fetoprotein (AFP) test normally done?7. What specific information should the nurse give Jean Marie and Tom about indications of the amniocentesis test and the procedure itself?8. How would you answer Ms Marie’s concern about the needle stuck etc.?8a. What other fetal assessment tests may be done to assess fetal development? What are their indications and contraindications and or complications?There are some tests to assess fetal development include:9. How should the nurse respond to Jean Marie’s question about her next appointment, and what specific things should he or she tell Jean Marie at this first visit?The recommended frequency of antepartum visits is as follows: 10. As the nurse based on what you know so far, what health teaching would you provide to Marie in relation to her pregnancy and presentation? Danica Crowley, a 31-year-old gravida 2 para 1 Caucasian female at 37 weeks’ gestation, was admitted to labor and delivery on Sunday at 2230. Labor lasted 22 hours, with the administration of Oxytocin beginning 30 minutes before delivery. The scenario begins with the birth of the newborn (Jenny) at 2030 on Monday. The Apgar at birth was a 9As the Nurse, you are meeting Danica and baby Jenny for the first time. You are entering the room with the intention of conducting a newborn assessment. Below is the list of clinical findings that you have obtained. Assessment data:A. Baby is sleeping comfortably beside moms bed in her basinetB. Baby starts crying once her clothes have been removedC. Vital Signs: Temp 36.8, Pulse 140, Resp 30, BP 85/60, O2 sat 100% on room airD. Colour is pink with small white ‘pimples’ on faceE. The head is cone shaped, fontanels are not bulging or depressedF. There is a clear ointment covering both eyes G. Chest is clear on auscultationH. Abdomen is soft and bowel sounds are presentI. Neuro assessment finds a normal Palmer, moro, Babinski and rooting reflexesJ. The umbilicus is clamped and dryK. When the diaper is removed, bright red blood is notedAnswer all of the questions listed below in the space provided.1) What is a normal Apgar score? When is an Apgar score assigned? What does it indicate?2) How do you calculate a corrected age?3) What are the normal Vital signs for a newborn? What is the most accurate temperature route to take on newborns? What is the best method for taking a temperature on a baby? Is there a difference between the two methods? Why?4) What health teaching should you provide to the parent(s) regarding the baby’s temperature? What should they do if the temperature is >38 degrees5) What is the ointment noticed in the babies eyes? Why is it there?6) Mom asks why the baby was given a vitamin injection in the thigh? What is your best response?7) Mom wants to know why the baby had blood work done, what blood tests are routinely done on a newborn and why?8) Mom wants to know why there are pimples all over the babies face9) What are fontanels? How many are there? Where are they located? When do they fuse? What HT would you provide parents regarding the fontanels?10) Why is there blood in the diaper when it is removed?11) Explain the following reflexes and how do you assess for them. Palmer, moro, Babinski, rooting12) What HT would you give to the mom regarding sleep when she brings the baby home13) Mom states that she does not want to breastfeed. She understands the benefits but would rather bottle feed. What would your response be as the nurse?              Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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