2. CASE SCENARIO
Ms. Chin Won age 26, present at the community
health center in her initial prenatal care visit. She is
found to have an elevated lood pressure and
excessive swelling in her legs and feet. The fetus
appears small on sonogram.
If you are were caring for Ms. Won answer the
following questions:
4. 1. What are some reasons that early prenatal care might have helped
to decrease Chin Won’s risk for maternal mortality and perinatal mortality?
2. What measures might the nurse take to ensure that Chin Won’s care is
family centered?
3. How might cultural assessment be beneficial when planning with
Chin Won for health restoration and maintenance throughout the
pregnancy and puerperium?
4. How would the plan of care look if Chin Won were a single woman, a
working mother, or a teen?
5. Write a brief statement on your opinion regarding termination of
pregnancy when the woman is at risk from the pregnancy and the fetus is
health
6. Make at least 1 NCP
6. Preventing Low Birth weight: The Role of Prenatal Care,
studied demonstrate the infant mortality and low birthweight
can be alleviated if the pregnant mother receivers sustained,
quality medical care beginning early in her pregnancy. so that
in a patient problems can be donated and corrected before
they affect the fetus.
The measure might in to a patient Ms. Won is, as part of the initiative,
nurses have a defined role in family-centered rounds: Coach patients
and families; orient and prepare them for family-centered rounds. To
Advocate for patients and families; address their concerns. Speak early
to provide critical information, such as what happened during overnight
events.
7. A woman's cultural background can affect her needs and expectations
during pregnancy and childbirth, as well as how she and her family raise
children. Many women giving birth in Australia believe it's important to
follow the traditional pregnancy and birth practices of their culture.
Motherhood confers upon a woman the responsibility of raising a child. This
process also changes the way in which she is perceived in society and at her
workplace. It can necessitate her to take more than available leave options, and
job security can be at risk. Significant social and personal adjustments are
necessary to cope with such a situation. A working mother, especially one who has
the good fortune to be able to balance her home and work, enjoys the stimulation
that a job or career provides. She develops the ability of raising a useful member
of society and at the same time gains financial independence. Along with
motherhood, work adds to the completeness of being a woman.
8. Eleven women were recruited from the government hospital and 14 from
an NGO facility. The majority of women (15 women or 60 %) were living
rural settings, ranged in age from 18 to 40 years and had an average of 2
children. None had completed any post-secondary education. Women
most commonly cited financial concerns and health concerns as reasons
for seeking termination. Not recognizing pregnancy, uncertainty about
how to proceed, needing time to coordinate the trip to the facility or raise
money, and waiting to know the sex of fetus were the commonly cited
delays. Among the women interviewed, 12 decided to continue their
pregnancies following denial, 12 terminated their pregnancies elsewhere,
and one self-induced using medication. At least two women experienced
significant complications after obtaining an abortion. Most women who
continued their pregnancies anticipated negative consequences for their
health, family relationships, and wellbeing.
9. ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
Subjective:
“Bakit kaya madalas
ako mahilo?” ( Why do
I always feel dizzy?) as
verbalized by the
patient
Objective:
• Request for
information
• Agitated behavior
• Inaccurate follow
through of
instructions
• V/S take follow as:
T:37.2
P: 84
R: 18
BP: 180/110
Risk for prone behavior
related to lack of
knowledge about the
disease
• After 8 hours of
nursing
interventions, the
patient will
verbalize
understanding of
the disease
process and
treament regimen.
INDEPENDENT:
• Define and state
the limits of deisred
BP. Expalin
hypertension, and
its effect on the
heart, blood
vessels , kidneys
and brain
• Assist the patient
in indentifying,
modifiable risk
factors like diet
high in sodium,
saturated fats and
cholesterol.
• Reinforce the
importance of
adhearing to
treatment regimen
and keeping follow
up appointments.
• Suggest frequent
position changes,
leg exercises when
lying down.
• Provides basis for
understanding
elevations of BP,
and clarifies
misconceptions,
and also
understanding that
high BP can exist
without symptom or
even when feeling
well.
• These risk factors
have been showns
to contribute to
hypertension.
• Lack of
cooperation is
common reason for
failure of
antihypertensive
therapy .
• Descreases
peripheral venous
pooling that may be
potentiated by
vasodilators and
prolonged sitting or
standing
• After 8 hours of
nursing
interventions the
patient was able to
verbalize
understanding of
the disease
process and
treatment regimen.
