CASE STUDY: Active Labor: Susan Wong
Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after
spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of
abnormal alpha-fetoprotein levels at 16 weeks of pregnancy.
She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect
or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about
what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal
problem, so they felt they did not want this information.
Reflective Questions
1. As the nurse, what priority data would you collect from this couple to help define
relevant interventions to meet their needs?
2. How can you help this couple if they experience a negative outcome in the birthing
suite? What are your personal views on terminating or continuing a pregnancy with a
risk of a potential anomaly? What factors may influence your views?
3. With the influence of the recent Human Genome Project and the possibility of
predicting open spinal defects earlier in pregnancy, how will maternity care change in
the future?
Sample Solution
As the nurse caring for Mrs. Wong and her unborn child, it is essential to collect priority data regarding their health so that necessary interventions can be implemented. First and foremost, I would assess the fetal heart rate using a Doppler ultrasound (Knopp et al., 2020) in order to determine if any abnormalities exist or to identify any changes in pattern which may indicate distress (Reinhard & Smith 2020). Additionally, I would review Mrs. Wong’s medical history including information such as past pregnancies, labor and delivery experiences, pre-term labor risks, cholesterol levels, blood pressure readings etc.(Cunningham et al., 2017). Furthermore, I would also record information pertaining to the couple’s emotional state such as areas of concern related to having a baby with special needs or how worried they are about potential spinal issues(Bennett et al., 2018). Such data is important not only because it will provide an indication of what type of care is needed but also serves as a way to understand where these parents currently stand emotionally in terms of having a healthy childbirth experience (Kingdon et al., 2019).
pace Transition Theory concludes seven key postulates, (1) person, with repressed criminal behaviour (in the physical space) have a propensity to commit a crime in cyberspace which they would not commit in physical space, due to their status and position. Due to Rosica being an ex-cop restricted him committing a behaviour in physical space, as he had to maintain his status and position of being an ex-cop. (2) Identity flexibility, dissociative anonymity and the lack of deterrence factor in the cyberspace provides offenders with the choice to commit cybercrime. Rosica had the accessibility to create a fake online identity in which he did (Katy Jones), this was the identity flexibility factor. This meant that his real identity was hidden/anonymous (dissociative anonymity). And he also knew there is no certainty of punishment, especially with an unknown identity (lack of deterrence). (3) Criminal behaviour of offenders in cyberspace is likely to be imported into physical space, vice versa. Information was not given about Roscia’s physical stalking but he was charged five years for this being one of the reasons. (4) Intermittent ventures of offenders into the cyberspace and the dynamic spatiotemporal nature of cyberspace provide the chance to escape. Roscia knows that in cyberspace there is no continuous risk in getting caught, as the changing of space and time can contribute to the offenders’ escape. (5) (a) strangers are likely to unite together in cyberspace to commit a crime in the physical space and (b) associates of physical space are likely to unite to commit a crime in cyberspace. This claim does not apply to this case study, as Roscia was the only offender involved. (6) Persons from closed society are more likely to commit crimes in cyberspace than persons from open society. The fact that Roscia was an ex-cop meaning that he could have continued living in a closed society as being so used to it from his job; this theory can relate to the reasoning behind his offence. (7) The conflict of Norms and Values of Physical Space with the Norms and Values of cyberspace may lead to cybercrimes. The last key point is an overall statement of most online crimes.
There are five key postulates in ‘liquid modernity’ which are based on interactions online, four of which relate to this current study.
(1) A lack of morality, in this case, Rosica’s stalking behaviour is morally wrong.
(2) To promote instantaneous gratification, in order for Rosica to continue the harassment of his ex-girlfriend and several others suggest that he was receiving some pleasure from it, hence why his repetitive behaviour continued.