Watch the video and answer the following questions:
A 24-year-old Caucasian female client presents for her 36 weeks prenatal appointment. She is a G1 P0. She is single and lives with her mom. She is currently working as a certified nurse aid in a nursing home and works 40 hours/week. Her pregnancy was unexpected but making the most of her situation. Her boyfriend lives out if state. She had limited prenatal care since not know she was pregnant until 16 weeks gestation. She has attended prenatal classes at the hospital recently. She is up to date on her vaccinations and thus far her prenatal labs as are as expected. She has a history of irregular menses because of her passion for long-distance running. Prior to her knowledge of this pregnancy she was running 30 miles/week and her BMI prior to pregnancy was 17. Her weight gain at this point has been 15lbs. She plans to attend college after the baby is born. She has hopes to attend nursing school. Her current medications are Tylenol and prenatal vitamins with folic acid.
Which safety measures did the provider perform?
Note ALL maternal and fetal objective data that the provider obtained during this appointment?What other physical assessments are routinely done that were not performed during this appointment?
What is an expected weight gain in the 3rd trimester? What nutritional education is vital for this patient considering her history?
Provide the mechanism of action for the contraception method she has chosen?
Discuss other appropriate methods of contraception for a breastfeeding mother.
When can she expect a return of menses?
Discuss expected fetal movement at 36 weeks’ gestation? If the client calls her clinic and reports decreased fetal movement, how does the nurse instruct client?
What are the fetal development characteristics at 36 weeks? If this client asks the nurse about lung maturity, what is the best response?
How will a positive GBS culture change her intrapartum nursing care and treatment and newborn care?
What is the client’s main complaint during her appointment? What other expected discomforts and causes for each in the 3rd trimester should the nurse discuss?
Does the client have any risk factors for preterm labor? If this client calls the clinic and reports vaginal discharge or any leakage of fluid, what questions should the nurse ask?
This client inquires about labor, discuss the difference between true labor vs false labor?
Considering her history, what other items are of concern?
Discuss the expected feelings/behaviors that the nurse should discuss with this client.
Develop a plan of care with the utilization of the nursing process regarding one of the items of concern identified
Medication Concept Maps (4) from ATI
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