Archive for month: October, 2020

Chapter 20, Nursing Management of the Pregnancy at Risk: Selected Health Conditions and Vulnerable Populations

1. Maria is a Hispanic 30-year-old who has not carried a pregnancy to term. She developed systemic lupus erythematosus (SLE), or lupus, when she was 25 years old. Maria is a G4P0 and has had three previous fetal demises. She is currently at 32 weeks’ gestation and has been asymptomatic during this pregnancy. Maria has been taking a daily dose of prednisone to suppress flare-ups. (Learning Objective 7)

1. What is the management of care for the remainder of Maria’s pregnancy?
2. If Maria’s lupus remains stable, will she require any modifications to standard care for her labor and delivery?
3. How will the management of Maria’s pregnancy change if she develops a flare?

2. Nikki is a 17-year-old G1P0 at 33 weeks’ gestation. Nikki comes to the clinic today for her prenatal visit and you notice that her hair and clothing have the distinct odor of marijuana and tobacco smoke. You directly ask Nikki if she has been taking any other drugs besides marijuana. Nikki is surprised by the question and denies it. When you explain that you can smell it in her hair and on her clothing, she starts to cry and says, “Please don’t take my baby away from me.” After reassurance, Nikki further admits to sporadic binge alcohol consumption and smoking “pot” and cigarettes. She relates that she also consumes 4 to 5 caffeinated beverages per day. (Learning Objective 10 and 12)

1. How do cigarette smoking, marijuana use, binge alcohol consumption, and excessive caffeine intake affect Nikki’s pregnancy?
2. What possible affects are there to Nikki’s baby from the maternal ingestion of these substances?
3. What is the nursing care you would provide for Nikki?

Chapter 19, Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications

1. Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared. (Learning Objectives 1 and 2)

• Why is Teresa’s pregnancy considered a high-risk pregnancy?
• What are the potential pregnancy-related complications for Teresa?
• What are the potential risks to the babies?

2. Sarah is 19-year-old G1P0 at 36 weeks’ gestation. Sarah has been followed weekly in the clinic for mild–moderate preeclampsia. At her clinic appointment today, Sarah’s blood pressure reading was 188/104. She is admitted to the antepartum unit for management of her worsening preeclampsia. You perform her admission assessment and note that her reflexes are brisk, her heart rate is 94, she complains of having an intense headache, and is seeing spots before her eyes. You perform an abdominal assessment and note that she has significant epigastric tenderness. (Learning Objective 5)

• What needs to be included in a plan of care for the woman experiencing preeclampsia, eclampsia, and HELLP syndrome?

Chapter 12, Nursing Management During Pregnancy

1. Nancy, age 38, and her husband, Dan, age 37, arrive at a midwife clinic for an initial prenatal visit. They have been married for 10 years and trying to have a child for 3 years. Nancy completes the initial paperwork and the nurse notes the following obstetrical history: G3, T0, P0, A2, and L0. Nancy is approximately 8 weeks pregnant. (Learning Objectives 2, 3, and 4)

• What questions in the history are the highest priorities for the nurse to ask, given Nancy’s obstetrical history? Why is this history important?
• What initial prenatal screening and testing would the nurse anticipate at this visit? Why?
• What prenatal screening and testing would the nurse anticipate for Nancy in the future related to her age? Why?

2. Carla is 36 weeks pregnant with her first child. She is in the office for her regular prenatal checkup. During this visit she complains of increasing heartburn, low back pain, constipation, and difficulty sleeping at night. Carla would like to know what she can do to get relief from these symptoms. (Learning Objectives 5 and 6)

• What needs to be included in the nursing management for Carla’s complaints?
• Now that Carla is nearing the end of her pregnancy, she has many questions regarding what to include as she starts preparing her birth plan. What information does Carla need to effectively plan for the birth of her baby?

FAMILY HEALTH ASSESSMENT

After you have read chapter 20 of the class textbook and review the PowerPoint presentation, choose a family in your community and conduct a family health assessment using the following questions below.

1. Family composition.

Type of family, age, gender and racial/ethnic composition of the family.

2. Roles of each family member. Who is the leader in the family? Who is the primary provider? Is there any other provider?

3. Do family members have any existing physical or psychological conditions that are affecting family function?

4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself.

For example; working parents, children or any other member

5. How adequately have individual family members accomplished age-appropriate developmental tasks?

6. Do individual family member’s developmental states create stress in the family?

7. What developmental stage is the family in? How well has the family achieve the task of this and previous developmental stages?

8. Any family history of genetic predisposition to disease?

9. Immunization status of the family?

10. Any child or adolescent experiencing problems

11. Hospital admission of any family member and how it is handled by the other members?

12. What are the typical modes of family communication? It is affective? Why?

13. How are decisions make in the family?

14. Is there evidence of violence within the family? What forms of discipline are use?

15. How well the family deals with crisis?

16. What cultural and religious factors influence the family health and social status?

17. What are the family goals?

18. Identify any external or internal sources of support that are available?

19. Is there evidence of role conflict? Role overload?

20. Does the family have an emergency plan to deal with family crisis, disasters?

Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.

Please present a summary of your assessment in an APA format on a 12 Arial font, word document attached to the forum in the discussion tab of the blackboard title “family assessment” for evidence-based practice references besides the class textbook to sustain your grading and in Turnitin to verify originality. Please use at least 3 scholarly assessments. A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading). 2 replies to any of your peer’s assessment/posting are required sustained with the proper references. You must identify two family problems and present a nursing care plan using the nursing process addressing the problems.

The assignment must be posted in the discussion tab of the blackboard for your peers to discuss and in Turnitin to verify originality.

Imagine you are the office manager at a small doctor’s office. As the office manager, you are in charge of educating new hires.

Write a 700- to 1,050-word reference guide describing electronic data interchange (EDI).

Include the following in your summary:

• Define EDI.
• Explain how using EDI facilitates electronic transactions.
• Explain how HIPAA has changed how health care information is transmitted in EDI.
• Describe the relationship between Electronic Health Records, reimbursement, HIPAA, and EDI transactions.

Cite a minimum of two outside sources.

Format your paper according to APA guidelines.

Select the following agency:

Government agency that regulates prison health care: Federal Bureau of Prisons, California State Prison Board [NOTE: Volunteer standard setting organizations like National Commission on Correctional Health Care is NOT an option]

Write a 1,400- to 1,750-word paper that explains the role and impact of the agency on the health care industry or prison health care. Include the following:

Introduction

Describe the agency’s structure.

Explain the organization’s effect on health care.

Describe one example of the agency carrying out its duties.

Explain what regulatory authority the agency has in relation to health care.

Explain how agencies deal with the elements of negligence and intentional torts that could affect risk and quality management for health care organizations.

Conclusion

Cite 2 peer-reviewed, scholarly, or similar references to support your paper.

Format your assignment according to APA guidelines.