Question

#1)  Write down sample nursing diagnoses, interventions, and expected outcomes for the following client:

Elaina, 27 years old, visits a prenatal clinic to confirm a positive pregnancy test. Elaina tells the nurse that she is not married and has no support system. She also states that she is making minimum wage at a restaurant with no health insurance and cannot afford prenatal care. She intends to keep the baby and would rather not tell her partner because “they don’t have that kind of a relationship.” Elaina asks the nurse “If I take good care of myself, why do I need prenatal care?”

#2) Explain how the fetus is affected by tobacco use during pregnancy. Keeping in mind the 2020 National Health Goals, what are some things you can do as a nurse to promote these goals and carry your ideas out into the community.

#3) You are asked to perform an assessment of a pregnant woman and her family. Prior to the assessment, devise a list of interview questions to use to assess the woman’s readiness for parenthood and current health status as well as her goals for the pregnancy.

#4) For each of the following QSEN competencies write a list of nursing interventions for promoting fetal and maternal health related to each competency:

Patient centered care

Teamwork and collaboration

Evidence-based practice

Quality improvement

Safety

Informatics.

#5) List the four major hormones produced in early pregnancy. Describe what each one does.

Answer 1

Nursing diagnosis ;; Vomiting related to change in hormone levels in pregnanacy
Intervention;;;;;  Promote oral hygiene
Teach about fluid intake
Administer medication
Outcome
No vomiting

Nsg diagnosis :::: Leg cramps related to pregnancy
Intervention ;;; Encourage rest
Administer medication , little exercise
Teach about diet

Outcome
Pain control

2) the teratogenic effect of the tobacco ;;; Tobacco. Smoking during pregnancyincreases the risk of health problems for developing babies, including preterm birth, low birth weight, and birth defects of the mouth and lip. Smoking during and after pregnancyalso increases the risk of sudden infant death syndrome (SIDS).the community nurse should provide the information to the people through the mass media a home visiting to prevent the teratogenic effects of tobacco

3) How are you feeling about being pregnant?
Is this good timing for your pregnancy?Have you had any changes in your appetite or sleep habits?

Are u ready to take care of your baby?

4) provide a good quality care to the mother and baby, the mother should b educated regarding the diet, the role of exercise should b taught etc

The health care team should take care of the mother, they should perform head to toe examination to assess any abnormality etc

Evidence based practices should b used to provide a good and quality care, care of baby ,supplement to mother like iron tablet folic acid tablet etc

Safety ; the mother and baby should b given a safety environment free from any kind of violence , bad habits , no smoking no alcohol

Informatics : the bit by bit information should b given to mother related to baby, and her own health

5) Human placental lactogen (hPL). ...Estrogen. ...Progesterone. HCG . estrogen during pregnancy enables the uterus and placenta to: improve vascularization (the formation of blood vessels) hcg maintains pregnancy hCG'sprimary role is to keep the corpus luteum functioning, so that the corpus luteum continues to produce estrogenand progesterone. HPL modifies the metabolic state of the mother during pregnancy to facilitate the energy supply of the fetus.