Reliable data and information

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• Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evidence-based practice in the care of diverse clients during pregnancy.
• Differentiate the various components of basic physiological needs as it relates to pregnancy and health practices, including but not limited to associated concepts of.
• Evaluate data and information gathered during client care, simulated scenarios, and/or case studies related to promoting nutritional health during pregnancy, nursing care strategies to address the common discomforts of pregnancy, essential components and standards of prenatal care, fetal growth and development stages in order to determine knowledge and wisdom gained through critical thought processes to optimize client outcomes and quality improvement.
• Demonstrate a basic understanding of communication practices necessary for client-centered care and interdisciplinary collaboration in terms of knowledge, skills, and attitudes.

Competency
Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.

Scenario
You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

Social history:
• (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years
• (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use
• Abusive partner with first pregnancy, states she has a new partner x 4 years
• Depression, currently not taking meds for treatment (tx)

Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

Instructions
Write a two to three-page analysis of this scenario that answers the following questions:
1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?
2. Document the considerations of yourself as the professional nurse in regard to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.
3. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?
4. What concerns should be discussed with Ms. Jones before she leaves her appointment?

 

Sample Solution

showing skin in a few center eastern nations. In their way of life comparative with them, this is terrible and unfathomable. In America (our way of life) it isn’t strange to see a young lady or kid at the ocean side don’t wearing near anything. There are numerous contentions that concur with moral relativism since there are such countless various societies and it isn’t up to us to pass judgment on others since they don’t keep the very upright guidelines that we do in America. There are likewise contentions against moral relativism since some accept that ethics are widespread and what is ethically off-base in one spot ought to likewise be ethically off-base in others. An illustration of this is murder, in certain societies murder is satisfactory under specific terms or when somebody violates the law and there are different societies where murder is constantly viewed as ethically off-base. My perspective on this hypothesis is to some degree blended. I have confidence in the two sides, there ought to be a few things that are moral widespread regulations and a few things that are comparative with your way of life. I find it hard to figure everybody ought to adjust to one bunch of standards.

Moral Universalism
Moral universalism is a hypothesis that arrangements with specific circumstances that could fall under all inclusive set of principles. This intends that there are circumstances that everybody in the world would or ought to concur is ethically adequate or the inverse. An illustration of this is an individual being assaulted, regardless of your sex, race, identity, and so forth it’s fair to say that assault is horrendous and is totally ethically unsuitable. A contention for moral universalism appears to be really self-evident, it is an incredible approach to deciding genuinely great and genuinely underhanded deeds since everybody would have the option to bring up and concur regarding what is good and bad. Contentions against incorporate things like moral relativism. It would be unimaginable as far as we’re concerned to generally settle on what is good and bad since there are such countless various types of individuals. I concur totally that there are sure things that are all around acknowledged as being shameless however I can see it from the vantage point of my own experience and culture. It is not difficult to bring up improper doings when everybody around you in your own way of life concurs. The genuine test is getting a wide range of variety and various foundations

Moral Selfishness
Moral vanity is a hypothesis that expresses that we ought to place our own personal matters regardless of anything else. Moral selfishness expresses that by putting ourselves in front of all the other things we are ethically right as well as moral. Moral vanity varies from mental pride in light of the fact that mental vanity expresses that we don’t have a decision to put our own personal circumstances first and the narrow-mindedness is a piece of human instinct. E

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