NURS 6551:Week 7: Obstetrics, Part 1 Essay Assignment Paper

This week as you begin to explore obstetrics, you consider care plans for pregnant patients, including implications of missed procedures and screenings. You also examine the impact of sociocultural factors on these care plans.

Learning Objectives

By the end of this week, students will:

• Assess estimated date of delivery for pregnant patients
• Evaluate clinical implications of missed procedures and screenings in pregnant patients
• Analyze care plans for pregnant patients
• Evaluate the impact of sociocultural factors on patient care plans
• Understand and apply key terms, principles, and concepts related to obstetrics
• Evaluate diagnoses for patients
• Evaluate treatment and management plans
• Evaluate vaginal infections in patients*
• Evaluate common gynecologic conditions in patients*
• Analyze treatment modalities for common gynecologic conditions*
• Evaluate breast conditions in patients*

*These Learning Objectives support assignments that are due this week, but were assigned in Weeks 4–6.

Learning Resources

Required Readings

Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.

 

• • Chapter 30, “Diagnosis of Pregnancy and Overview of Prenatal Care” (pp. 781-797)

This chapter examines the diagnosis of pregnancy, routine prenatal care, and patient education strategies for pregnant women.

Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers.

 

• • Chapter 2, “Care of the Woman During Pregnancy” (pp. 49-90)

This chapter explores the care of women during pregnancy, including common health conditions and health promotion.

Optional Resources

Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/

National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/

U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/

Discussion: Care Plans for Pregnancy

After confirming and dating a pregnancy, you must collaborate with patients to develop a personalized care plan. These pregnancy care plans are integral to prenatal care as they help to ensure the mother and child’s well-being throughout the entire pregnancy. Pregnancy can be a wonderful, yet difficult time for women as a woman’s body goes through many physical, mental, and emotional changes that might be challenging or even overwhelming for some. Whether or not these women share their concerns, as the advanced practice nurse, you must routinely watch for signs and symptoms of any developing physical or mental health issues. By collaborating with patients and discussing concerns, you can modify care plans and often address potential issues before they become a significant health problem. For this Discussion, consider pregnancy care plans for the women in the following case studies:

Case Study 1:

On 1-15-13, you are seeing a 25-year-old Caucasian female in the clinic because she believes she’s pregnant. Her LMP was 12-1-12. Her home pregnancy test was positive, and she has been having nausea and breast tenderness.

Case Study 2:

You are seeing a 28-year-old African American female, G6 P 3115, who is currently on oral combined hormonal contraception. She’s here because she and her partner would like to have another child. She heard “it takes a while to become pregnant after being on the Pill,” so she discontinued them three months ago. They haven’t been using any contraception since then. Upon questioning, she states that on the Pill, sometimes her menstrual periods are very light and once she didn’t have one at all. Her urine pregnancy test in the clinic is positive. Her LMP was 7-14-12. You are seeing her on 12-3-12.

To prepare:

• Review Chapter 30 of the Schuiling and Likis text and Chapter 2 of the Tharpe et al. text.
• Review and select one of the two provided case studies. Analyze the patient information.
• Consider how to date the pregnancy and estimate the date of delivery for the patient in the case study you selected.
• Based on the dating of the pregnancy, reflect on the appropriate clinical guidelines for procedures and screenings. Think about the implications of any missed procedures or screenings.
• Determine a plan of care for the patient. Identify procedures, screenings, diagnostic testing, pharmacologic and nonpharmacologic treatments (if appropriate), management strategies, and patient education.

By Day 3

Post the estimated date of delivery for the patient in the case study you selected. Include an explanation of how you dated a pregnancy and which of the patient’s factors led to your estimated date of delivery. Then, based on the dating of the patient’s pregnancy, explain the appropriate clinical guidelines for procedures and screenings. Explain implications of any missed procedures and/or screenings. Finally, explain a plan of care for the patient, including procedures, screenings, diagnostic testing, pharmacologic and nonpharmacologic treatments, management strategies, and patient education.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days in both of the ways listed below. Respond to colleagues who selected different case studies than you did.

• Explain how sociocultural factors might impact the care plan for patients in the case study your colleagues selected.
• Based on your personal and/or professional experiences, expand on your colleagues’ postings by providing additional insights or contrasting perspectives.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!