Question

Harmony, a 33 year- old G1 P0 comes into see the nurse. Harmony is 29 weeks pregnant and she had only one previous prenatal visit at 18 weeks. She has declined vaccines and most blood work, so her rubella status, blood type, HIV status are unknown   Harmony has failed to keep previous appointments which were scheduled at 22 weeks and 26 weeks. Harmony states that she has not been taking iron preparations nor her folic acid supplement as prescribed. She lives with her boyfriend outside of town on 2 acres and they raise chickens. Harmony shared that she treated her morning sickness with herbs from her garden.

• What assessment questions does the RN need to ask the client?
• How would you ask the questions while maintaining a non-judgmental attitude and respect for the patient preference?
• What education would you offer the client?

Answer 1

1. Ans. The pregnant client don't receiving rubella vaccine during pregnancy , ask the client receiving rubella vaccine avoid pregnancy in 3 months

2. Ans diagnosis of rubella titer positive so cesarear delivery is done

3. Education , during pregnancy maintain heamoglobin level so iron and folic acid prescribed, antenatal check is necessary for any fetus anomalies