Question

1.         Dorothy is a 26-year-old woman who is 5 months pregnant with her third child. She and her two older children—Alice aged 6 years and Tom aged 3 years—are currently living in a shelter after leaving her abusive husband. At her visit, she tells the nurse this is her first prenatal visit. She also lets the nurse know that she has seldom seen the doctor or taken the children for well visits. A. What are some immediate issues? B. What are some short-term goals? C. What are some long-term goals?	3
2.         The Browns have been foster parents for over 10 years and have come to your clinic for the children’s health care needs. Charlie is a new foster child they have brought in for a well-child exam. His past history is sketchy. A. What are some ways to determine his past medical history? B. A couple days after the visit, the office gets a call from an angry woman who claims to be Charlie’s mom. She wants to know what was done and says she will sue if you do anything else. How should this be handled?	3
3.         A young family whose child has unique concerns has just found out that the woman is pregnant. The couple had been using contraceptives and was not planning on having any more children. The parents are upset at the news but not sure what they are going to do. A. How should the nurse proceed? B. What are some options for this couple? C. The couple decides abortion or adoption is not an option. How can the nurse help this family?	7, 8

Answer 1

1.A.Some of the immediate issues are

• Screening the mother and the children for any physical abuse ,malnutrition.
• The risk for the fetus to have abnormalities due to no antenatal care

B.The short term goals are

• Assessing and treating the children for malnutrition and meeting it
• Prenatal checkups for the mother
• Diet needs are met

C,The long term goals are

• Complication free delivery
• Proper and secured way of living after delivery
• Leading a quality and healthy lifestyle

2.A.Some of the ways to collect his past history are

• Trying to collect atleast basic information from the child in regards to preferences, choices,like and dislikes
• Enquire the foster parents about the health history obtained at the time of fostering from the administration.