Question

Case Scenario:

Ruba is a 39 years old, pregnant woman at 8 weeks gestation, and her husband, Ali, is 50 years old, arrives at antenatal clinic for follow-up. The couples have been married for 12 years. Ruba completes the initial paperwork, and the nurse notes the following obstetric history: G6 T0 P0 A5 L0 M0.  Ruba and Ali asked the nurse many questions regarding Down syndrome as Ali’s sister, recently, has a boy with Down syndrome.

Q1:List the references you have used to complete this case analysis, by using APA referencing style?

Q2:What are the 6 questions in the history taking are the highest priority for the nurse to ask, given Ruba’s obstetric history?                                                                          

  

Answer 1

Solution for 2ND question:

Ruba's Obstetric history: G6 T0 P0 A5 L0 MO

In an Obstetric history, GTPAL TERMINOLOGY is used to descibe obstetric history

the Gravida (G) is the number of pregnancies a woman has had.

T is term births means delivery at 37 or greater week's gestation.

P is preterm births means delivery at 20 to 36 6/7 week's gestation.

A is Abortions mean delivery before 20 weeks gestation.

L is living children means children who lived beyond neonatal period.

M means  miscarriage

The nurse should ask about  ruba's obstetric history means asking questions related to current and previous pregnancies.

in Ruba's Obstetric history: G6 T0 P0 A5 L0 MO. This means Ruba has had 6 (G)Pregnancies in which 5 Abortions(A) happened and she is currently pregnant. No miscarriage (M) happened.

G =6, T=0 Term births, P=0 Preterm births, A= 5 abortions , L= 0 no living children , M=0 miscaariages.

-The nurse should be asking ruba's previous abortions reasons,and why it has happened

-The nurse should involves exploring patient's ideas, concerns and expectations to understand what their perception and what are they concerning about mostly.

-nurse should ask what ruba had been taking precautions and has any problems to keep safe.

- nurse should take chance to correct any inaccurate information to them.

these are the most often seen risks of pregnancy who faces and should take good care of baby. The risks mostly are:

The number of previous pregnancies and deliveries will also influence the risks associated with the current pregnancies,  abnormal fetal presentation, amniotic fluid embolism, precipitate and preterm delivery although higher age is more significant