Question

Initial Discussion Post:

You are caring for two women who are pregnant for the first time. One is 16-years-old and the other is 41-years-old. After reviewing your assigned textbook readings:

• Describe the similarities in the care of these two women.
• Describe the differences in the care of these two women.
• Include rationales to support your response.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do notcount towards the 250 word minimum.

Answer 1

The Similarities in the care of two women:

Both women do not have the proper maternal age for pregnancy so they are physically, emotionally, and socially imbalanced. So both need more support and health teaching during pregnancy and postpartum period. The nurse helps them to adapt to the changing life and to cope with that. Both women are at high risk of giving Low Birth Weight Infants, resuscitation, preterm baby and also postpartum complications. So the nursing care plan should be focused on prenatal, intranatal and postnatal positive outcomes. The nursing care is planned to

• Promote the physical and psychological well-being of the client.
• Provide health education about the prenatal care.
• Monitor the fetal growth and well-being.
• Provide a positive approach to the new situation.
• Educate about nutritional needs during pregnancy.

Differences in the care of the women:

The Teen pregnancy may restrict the woman from future opportunities. The nurse should support them emotionally and also they are at risk of financial dependence and of low self-esteem. This woman is at high risk of obstetrical hazards. The nurse supports her to the transitional role of the mother as she is have less life experiences. The nurse should maintain a therapeutic relationship with the woman to establish positive outcomes.

The woman with 41 years old comes under 'high-risk category'. They are at high risk of hypertension, gestational diabetes, and chromosomal abnormalities. She will have the chance of Cesarean section due to advanced maternal age. The nurse must care about the healthy diet, maintaining of body weight and increased lifestyle activity. Additionally, the fetus should be monitored for any chromosomal abnormalities.

Rationales:

Comparing to the adult woman the teen woman requires unique needs in physical and emotional support and also health teaching to cope up with the lifestyle changes related to pregnancy and birth. Whereas the adult woman care should focus on maternal risks, genetic risks, and delivery challenges. Moreover, the ultimate goal of all pregnancy is to have a healthy mother and healthy baby.