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An 18 year old woman has come to the clinic for confirmation of pregnancy. She states...

An 18 year old woman has come to the clinic for confirmation of pregnancy. She states that she has missed three periods, and a home pregnancy test 2 days ago was positive. The client states she does not like going to the doctor and the only reason she is at the clinic is because her boyfriend wants to make sure that she is really pregnant. What approach should the nurse take in regard to assessment, care, and intervention for this client? What are the positive signs of pregnancy that the provider will look for?

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Expert Solution

Pregnancy may seem as a great pleasant surprise for some whereas may be a anxious step by the other.

A nurse must carry out-

Urine pregnancy test to determine the confirmation of pregnancy.

As the said women is a teenager complete history Musprofile. ken regarding last date of menstrual cycle, blood test to determine presence of sexually transmitted diseases  

Carry out usg to determine the age of gestation.

Carry out biochemical and biophysical profile.

Determine for any form of genetic abnormalities.

Educate regarding family planning.

Educate mother to have iron rich diet to prevent neural tube defects.

Educate patient to prevent heavy exercise.

Educate patient to prevent any form of coitus when pregnant.

Early signs of pregnancy-

The early signs of pregnancy may include-

Presence of fetal movement

Nausea

Increase in urination.

Morning sickness

Fatigue.

Edema

Cervical changes.

Jacquemiers sign. - bluish discoloration of the mucus membrane of the vagina.

Nightingale answered 1 year ago
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