[SOLVED] Case Study 1: Pregnant Women
Case Study 1: Pregnant Women
Tiffani Hobson, a 17-year-old vocational high school student, comes to the clinic where you practice nursing, with her mother. Tiffani reports she has missed two menstrual cycles. Her last known period started on March 4, 2019, and was normal.
Each time you ask Tiffani a question, she apprehensively looks at her mother before answering nervously. You ask Tiffani’s mother to step outside for a few minutes; reluctantly, her mother leaves.
Before going any further, what might the nurse do to alleviate Tiffani’s apparent anxiety?
What are some key topics to ask about when taking a health history with a possibly pregnant teenager?
Tiffani’s pregnancy test results are positive. Use Nagele’s rule to determine her due date.
Case Study 2: Newborns and Infants
Tammy Rutledge, an 18-year-old college student, gave birth 2 days ago to Sarah, her first child. Sarah’s father, 23-year-old Nathan English, has visited consistently throughout the hospitalization. Today, Ms. Rutledge and Sarah are being discharged, with Mr. English transporting them home. Sarah was delivered vaginally with no complications. Ms. Rutledge has been successfully breastfeeding Sarah, and they will be living with Ms. Rutledge’s parents. All family members currently seem happy and committed to Sarah’s care.
What are the primary areas of focus for anticipatory guidance regarding newborns?
What life-saving course should Ms. Rutledge take to protect Sarah’s safety?
How should Ms. Rutledge and Mr. English’s parents become involved in the education process?
Case Study 3: Children and Adolescents
Shonna Robinson, a 15-year-old high school freshman, presents to the clinic where you practice nursing, stating, I have a sinus infection. She is accompanied by her mother. Shonna reports her boyfriend is also sick and probably gave this to me. During her health history, Shonna’s responses to questions about school indicate that she is unhappy there.
Shonna’s vital signs today are temperature, 37.8°C; respirations, 16 breaths/min; pulse, 78 beats/min; and blood pressure, 110/68 mm Hg. Physical assessment reveals forehead tenderness, head congestion, and unrelenting headache. She is otherwise healthy. Shonna’s physician diagnoses a sinus infection and prescribes antibiotics.
During your assessment, what topics are important to ask Shonna about?
What are health promotion opportunities present for Shonna and her mother?
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