Question

1.         Paula and Dean are expecting their second child and desire to use a birthing room, in which other family members can be present including their 5-year-old daughter, Leslie. Leslie has accompanied her parents on a few prenatal visits, during which she was disruptive and demanding. The nurse realizes that this is a potential problem for the actual birth. A.    How should the nurse prepare for this? B.    How can the birthing center prepare for this situation? C.    What are some other options to consider for this family?

2.         The availability of health care services in rural areas of the United States is more limited than those which are available in the larger urban and metropolitan areas. A local clinic is interested in helping to improve the situation. A.    How can the local nurses help improve the services? B.    How can the community help to improve the situation? C.    What is the expected outcome?

3.         The client is a 28-year-old woman who is pregnant for the fourth time. She has come into the clinic to confirm her pregnancy but refuses to make an appointment for her first prenatal visit. “I’ve been down this road before. I know what to do.” A.    What steps can the nurse take to encourage this client to come for prenatal care? B.    What are some of the risks associated with the lack of adequate prenatal care? C.    Why might the client feel this way?

Answer 1

1.A.The nurse should prepare the room which is friendly and comfortable for Leslie, so that she feels that she is always given preference besides the family gonna welcome one more child.

B.The birthing center can prepare by making a separate portion for the child and mother I'd the child is showing temper tantrum or the child can stay with family members until labor,

C.Some other option to consider for family are

• Educate the child in simple by telling they are going to welcome a sibling for her
• To support the mother and child during the process

2A.The local nurse can help to improve in the following way

• Creating awareness about the new services available to the general public
• Informing about the requirements of the people to the local clinic so that they can provide accurate and patient ce tered care