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Case Studies: include the case study in your response... you may cut and paste it. Case...

Case Studies: include the case study in your response... you may cut and paste it.

Case studies/NCPs are NOT a group assignment Each student completed individually demonstrating knowledge gained and critical thinking skills.

Re-read the instructions in the Medical Surgical case studies if you do not remember the correct way to complete case studies and NCPs.


Essentials of Maternity, Newborn, and Women's Health Nursing

Chapter 11: Maternal Adaptation During Pregnancy

1. Jessica and Mike are new clients at your obstetrics office. You are asking them about the reason for their visit. Jessica says she thinks she is pregnant because she missed a period. Mike tells you Jessica is always nauseated in the morning and eats all the time the rest of the day. They have not been using birth control and have wanted to have children since they got married last summer. Jessica says her clothes are feeling tighter and her breasts seem tender. Mike says he has noticed that Jessica has been frequently getting up to go to the bathroom at night. (Learning Objectives 2 and 4)   

What subjective symptoms have led Jessica and Mike to presume she is pregnant? What other conditions could be the cause of Jessica’s symptoms? How can a pregnancy be confirmed as probable? Diagnosed as positive?

Discuss the nutritional needs of Jessica and her baby.
2. Beth (age 18) is experiencing her first pregnancy and is now 24 weeks gestation. She tells you that she is “amazed by the changes that have happened to my body already.” Beth wants to understand what additional changes are going to occur to her “besides just getting a really huge belly.” Additionally, Beth relates to you that she is in her senior year of high school, is no longer involved with the baby’s father, and lives at home with her mother and 12-year-old brother. (Learning Objectives 3 and 5)

Explain to Beth (in terms she can understand) what general body adaptations she will experience throughout the remainder of her pregnancy.

What psychosocial adaptations may Beth experience as a result of being a teenage, single mother living at home?


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Answer #1

1. Subjective symptoms of Jessica

  • Missed periods
  • Nausea in morning (morning sickness}
  • Increased apetite
  • Not using birth control pills
  • Tender breast
  • clothes getting tight ( Increase in weight)
  • Nocturnal enuresis

Other conditions

  • Dyspepsia
  • Indigestion
  • Anxiety

Diagnosis

  • Morning sample of urine for pregnancy test
  • USG for detection of gestation sac and confirmation of pregnancy

Nutritional needs of Jessica

She needs to tahe extra diet .Since she is having morning sickness she should have short and frequent meals.Fruits rich in Carbohydrates ,Proteins ,vitamins and minerals. She should take plenty of liquids and juices also..She should take green leafy vegetables as well.

2. General body adaptation of Beth

  • Increase in weight
  • Increase in girth of abdomen :- Presenyly she is 24 weeks of gestation. Uterus can be palpated upto the level of umblicus. After that during the third trimester it will rise upto xiphisternum.
  • Heaviness in breast and tingling sensation in breast
  • Gradually she will start experiancing movements og foetus
  • se will urinate more often
  • increase apetite
  • Mood swings

Psychological Adaptation

This is Beth first pregnancy hence she needs moral support . She is seperated from her husband so her mother and brother should be more caring and supportive. She may have mood swings which has to be delt patiently.She should not be left alone.She should be motivated to persue her hobbies and other things that she likes. This will make her more comfortable and happier. Teenagers need lot of love and affection to make their pregnanh a happy experience.She needs proper sleep and rest too.

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