Question

Case Studies: include the case study in your response... you may cut and paste it.

Case studies/NCPs are NOT a group assignment. Each student completed individually demonstrating knowledge gained and critical thinking skills.

Re-read the instructions in the Medical Surgical case studies if you do not remember the correct way to complete case studies and NCPs

Essentials of Maternity, Newborn, and Women's Health Nursing

Chapter 11: Maternal Adaptation During Pregnancy

1. Jessica and Mike are new clients at your obstetrics office. You are asking them about the reason for their visit. Jessica says she thinks she is pregnant because she missed a period. Mike tells you Jessica is always nauseated in the morning and eats all the time the rest of the day. They have not been using birth control and have wanted to have children since they got married last summer. Jessica says her clothes are feeling tighter and her breasts seem tender. Mike says he has noticed that Jessica has been frequently getting up to go to the bathroom at night. (Learning Objectives 2 and 4)   

What subjective symptoms have led Jessica and Mike to presume she is pregnant? What other conditions could be the cause of Jessica’s symptoms? How can a pregnancy be confirmed as probable? Diagnosed as positive?

Discuss the nutritional needs of Jessica and her baby.

2. Beth (age 18) is experiencing her first pregnancy and is now 24 weeks gestation. She tells you that she is “amazed by the changes that have happened to my body already.” Beth wants to understand what additional changes are going to occur to her “besides just getting a really huge belly.” Additionally, Beth relates to you that she is in her senior year of high school, is no longer involved with the baby’s father, and lives at home with her mother and 12-year-old brother. (Learning Objectives 3 and 5)

Explain to Beth (in terms she can understand) what general body adaptations she will experience throughout the remainder of her pregnancy.

Answer 1

Answer: Jessica is vomiting, feels hungry as well as they didn't take any precautions and wanted a child. Jessica's breast feels tender due to increased level of progesterone as well as Jessica wake up in the middle of the night for urination. This the sign of the early pregnancy.

The other cause of Jessica condition could be increased progesterone level in the body. Sometimes these are symptoms that is related to the PMS. They should perform urine pregnancy test which shows the HCG content. If Jessica is pregnant then the HCG will be present in her urine which will confirm the pregnancy test.

In pregnancy the nutritional need increases as woman needs 300 more calories as compared to the normal days. She needs to drink sufficient amount of water as well as eat well balanced diet which should be protein rich and nutrients. Green vegetables and folate are most important in the development of the fetus.

Case 2: Beth understands that pregnancy brings lots of change in human body physically as well as mentally. In the pregnancy women starts to gain weight slowly where as feels hungry most of the time. The urge to urinate increases as well as due to high level of progesterone the soreness or the tenderness of the breast occurs. There is frequent mood swings as feeling happy and sometimes feeling just sad due to no reasons.