Nursing Develop a teaching plan for a 15-year-old who had unprotected sex 18 hours ago and is sure she is pregnant. She is very upset and states being pregnant would be a "catastrophe". What would you teach her about her options?
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- Nursing You are caring for a patient who has a history of Crohn’s disease. She gets severe abdominal cramps and uses a heating pad at home for the pain. She is very fair with freckles and red hair; she is also 11 weeks pregnant. Your facility often uses a heating pack that is self-contained and temperature regulated to avoid burns. There is no order for this, nor is it in her care plan. You tell her you will speak to the nurse. The patient tells you the facility system is not good enough; it does not get hot enough anyway. She will have her husband bring in her own. Is this acceptable? Please explain why and include your findings on the possible effects of heat on a developing fetus.Mrs. Vanessa Narciso, a 30 year old gave birth vaginally 2 hours ago with no complications. As Nurse Marina plans care for Mrs. Narciso, which postpartum goal would have the highest priority? The client will state instructions for discharge during the first postpartum day By the end of the shift the client will describe a safe home environment By discharge, the family will bond with the neonate The client will demonstrate self-care and infant care by the end of the shift.Reflection What is your role as a student nurse during labor and delivery? Labor and delivery room nurses not only provide birthing education, do medical tasks, support the doctor in emergencies, but also provide emotional support. During a routine vaginal delivery, the doctor may not arrive to the delivery room until minutes before a baby is ready to be born. After hearing the actual experience of Mother A, what did you feel? How will you going to support her? Can you probably provide appropriate care if ever you are present during those time?
- Topic: Adult health You are working in a public health STI clinic. You are seeing a 28-yr-old woman for the second time in 2 months for recurrent vaginal discharge. The patient says she has not been with anyone else except her regular partner. She says, “I don’t know why I have this again. The doctor gave me the pills and I took them.” • How would you respond? • What do you think is causing her symptoms? Gender Differences in Sexually transmitted disease MEN/WomenA nurse is counseling a husband and wife who have decidedthat the wife will get a job so that the husband can go topharmacy school, as he has wanted to do for some time. Theirthree teenagers, who were involved in the decision, are alsogetting jobs to buy their own clothes. The husband plans towork 12 to 16 hours weekly and states, “I was always an Astudent, but I may have to settle for Bs now because I don’twant to neglect my family, and I need to work a few hours sothat my wife won’t have to work overtime.” How would thenurse document the husband’s self-expectations?a. Realistic and positively motivating his developmentb. Unrealistic and negatively motivating his developmentc. Unrealistic but positively motivating his developmentd. Realistic but negatively motivating his developmentA nurse midwife is assisting a patient to deliver a full-termbaby. The patient is firmly committed to natural childbirthand has attended each natural childbirth class in preparationfor labor and delivery. A cesarean delivery becomes necessarywhen her fetus displays signs of distress. Inconsolable, thepatient cries and calls herself a failure as a mother. The nursenotes that the patient is experiencing what type of loss? Selectall that apply.a. Actualb. Perceivedc. Psychologicald. Anticipatorye. Physicalf. Maturational
- Which patients would a nurse assess for menstrual cycleirregularities? Select all that apply.a. A patient who is breast-feedingb. A patient who is diagnosed with anorexiac. A patient who chooses to abstain from sexual intercoursed. A patient who has pelvic inflammatory diseasee. A patient who is obsessed with exercisingf. A patient who has a spinal cord injuryRecognizing cultural differences and needs and providing supportive, culturally sensitive care will ensure a good evaluation from your patient on discharge are only important when dealing with patients who don't speak English will help ensure positive birthing outcomes are easily achieved by simply agreeing to whatever the patient's preferences are1Timmy, a five-year-old child who is physically challenged is having difficulty walking without help. What should be the nurse’s response to the patient with this condition, keeping in mind the various developmental stages of growth and development.
- .A nurse is caring for a client who is in the first stage of labor with report of ruptured membranes prior to admission to the labor unit. The nurse observes the fetal heart rate changes baseline from 150/min to 110/min. during a vaginal exam. The nurse notes a pulsation at the cervix. Which of the following actions should the nurse perform first? Push the cord back into the cervical os Prepare the woman for immediate vaginal birth Place the client in the supine position Insert a gloved hand into the vagina to lift the presenting part off of the cord.A nurse caring for patients in a pediatrician’s office assessesinfants and toddlers for physical developmental milestones.Which patient would the nurse refer to a specialist based onfailure to achieve these milestones?a. A 4-month-old infant who is unable to roll overb. A 6-month-old infant who is unable to hold his head uphimselfc. An 11-month-old infant who cannot walk unassistedd. An 18-month-old toddler who cannot jumpA new mother is 1 week postpartum and has decided to breastfeed her baby. She is visiting as an outpatient with you at the lactation clinic. She verbalizes to you her baby is having difficulty at times latching on and sometimes does not empty the breast completely. She states that within the pass day she has started to develop a red, painful area on her right breast and it is making it very difficult for her to breastfeed. On assessment you note that the red breast is developing the early sign of Mastitis. Her right breast has a hard, tender, red spot on the right outer area. The patient denies having any flu-like symptoms at this point. 1- Based on this case scenario, write the subjective and the objective data 2- Formulate your nursing diagnosis based on the information given 3- Create the care plan for this patient 4- What are the nursing interventions for this patient's health problem 5- Lastly, evaluate the outcomes goals for this patient.
