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CC003 PERFORMANCE TASK ANALYSIS
Please citate all information and include reference page on each
part.
Part I: Family Engagement
As you begin to consider how you will engage families at the
start of the new school year, it is important to reflect upon why
family engagement is necessary and beneficial for children,
families, and early childhood programs. Review Document #1:
Blue Stream Early Learning Center Overview.
In two to three pages, do the following:
· Explain why family engagement is important for the healthy
development of children and why it is essential to creating a
foundation for effective early childhood practice.
· Describe at least two strategies that you would use to engage
families prior to the beginning of the school year.
· Explain why you chose these strategies and how each strategy
can be used to promote a respectful, reciprocal, and responsive
partnership with the families.Part II: Individualized Family
Communication Plans
Imagine that it is now the second week of the school year. You
have received the completed Beginning of the Year
Questionnaires that you sent to the children’s families as seen
in the following documents:
· Document #2: Jon Hall: Beginning of the Year Questionnaire
· Document #3: Annie Xun: Beginning of the Year
Questionnaire
· Document #4: Irene Segers: Beginning of the Year
Questionnaire
Based on the questionnaires, create an individualized plan for
how you would communicate and collaborate with each of the
three children’s families.
Each of the three individualized plans should be two pages in
length and include:
· An explanation of the initial method of communication you
will use with the family. Explain why you chose the method for
this specific family.
· A description of at least one potential obstacle you might face
in communicating with the family.
· Describe at least one strategy you might use to overcome the
obstacle you identified, so you can effectively communicate and
collaborate with the family.
· An explanation of how you will communicate information to
the family about their child’s overall development and academic
progress. Provide a rationale for your choice.
· An explanation of how you will communicate to the family the
opportunities for them to engage in the classroom. Provide a
rationale for your choice. Include an explanation of why
building a partnership with this family is essential to the
healthy development of the child(ren) in this family.
· A description of at least one strategy you would use to obtain
information from the family. Provide a rationale for your
choice.Part III: Family Newsletter
A month has passed, and it is time to update the families on
their children’s progress.
Your newsletter should should include:
· An overview of learning and development that has taken place
in the classroom since the first month of school.
· A welcome to families and an invitation to volunteer or
become involved in the classroom community at Blue Stream
Early Childhood Center. Provide at least one specific way
families can volunteer or become involved in the classroom
community.
· At least one recommendation for promoting their child’s
emotional, social, cognitive, or physical development at home.
Essentials of Maternity, Newborn, and Women's Health Nursing
Chapter 13: Labor and Birth Process
Emily, age 32, has an obstetrical history of G1, T0, P0, A0, L0.
Emily’s week of gestation is 39.1. Emily telephones the health
care provider’s office and tells the nurse she believes she is in
labor. Based on her assessment, the nurse advises her to have
her husband bring her to the labor and birth unit. Emily arrives
and is admitted. She is talkative and excited about being in
labor and describes her contractions and discomfort as mild.
The following are the assessment findings of the examining
nurse: Maternal vital signs are stable. Fetal heart tones with the
external fetal monitor are reassuring. Vaginal exam indicates
the cervix is 3 cm dilated, 40% effaced, membranes intact with
the presenting part engaged.
Ten minutes after the vaginal exam by the nurse, Emily says, “I
think I just wet my pants.” (Learning Objectives 2, 6, 7, and 8)
a. What questions might the nurse have asked Emily to
determine that she may be in true labor? What prenatal history
information should the nurse have obtained during the telephone
call?
The questions include asking whether she is in pain, specifically
whether or not she has low back pain. The nurse might also ask
whether there is vaginal bleeding. The prenatal information
would be the intensity and frequency of contractions.
Other questions:
When did the contractions begin?
Where do you feel the pain.. back or belly?
Does rest or drinking fluid help the pain?
Fetal movements?
b. Explain the meaning of the nurse’s assessment findings.
Identify the stage and phase of labor, listing the physiologic and
psychological changes during this stage. What positions and
activities would be appropriate for Emily based on the
assessment data?
b. Did not develop one part of this question.
If the cervix is 3 cm dilated, 40 % effaced, Emily is in active
labor. During phase 1, the cervix begs to dilate and continues to
thin for the delivery. “Vitals are stable and FHT are reassuring
meaning the fetus is not in any distress” (Oktay et al, 2016).
The psychological changes include exhaustion, anxiety and
fatigue while the physiological changes include increase in
breathing and blood sugar. The appropriate activities would be
to have Emily walk around to help in moving labor. Emily can
participate in activities that involve walking.
c. Describe the nursing interventions that would be appropriate
for the nurse to implement based on Emily’s statement that “I
think I just wet my pants.”
The nursing interventions are to assess the FHR and determine
the color and odor of amniotic fluid in case the membranes
ruptured. Vital signs should be assessed and nearness to birth
should also be determined by evaluating cervical dilation and
contractions.
Note the time of ROM
Notify HCP
2. Diane, age 22, has been in labor for 8 hours. Her cervical
exam reveals she is 3 cm, 30% effaced and –1 station. Diane has
been feeling most of her pain in her lower back. (Learning
Objectives 3, 4, and 5)
1. Given your understanding of the 5 P’s and the cardinal
movements of labor, discuss why Diane is having back labor
and why her progress is slow.
The cause of slow labor progress is the Passenger. The
malposition of fetus causes it.
You have to identify the fetal positon that causes back pain and
slow progress.
“The fetus is the ‘passenger travelling down the birth canal”
(Subramaniam et al, 2019). The low progress may be as a result
of the fetal head being too large in addition to the
mispositioning. There might be exertion of pressure on the
mother’s sacral backbone which causes the back pain and poor
cervical dilatation.
0. What strategies may the nurse implement to assist Diane in
progressing in her labor?
The strategies are:
a. Telling her to squat
b. Asking her to sit on the birth ball
c. Use of the miles circuit technique
d. Conducting abdominal lift
e. Asking Diane to balance on knees and hands on a bed to help
adjust fetal position.
It is good to encourage Diane that she will be able to bear the
pain of delivery. Since she has attained full dilation, she may
give birth soon. Incorrect she is at 3cms.. a log way to go
Diane should also remind on the birth plan.
REFERENCES
Oktay, K., Bedoschi, G., Pacheco, F., Turan, V., & Emirdar, V.
(2016). First pregnancies, live birth, and in vitro fertilization
outcomes after transplantation of frozen-banked ovarian tissue
with a human extracellular matrix scaffold using robot-assisted
minimally invasive surgery. American journal of obstetrics and
gynecology, 214(1), 94-e1.
Subramaniam, A., Tita, A. T., & Rouse, D. J. (2019). Obstetric
Management of Labor and Vaginal Delivery. Chestnut's
Obstetric Anesthesia E-Book, 393.
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)
a. 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?
a. The above question is not answered.
The subjective symptoms include nausea, breast tenderness and
amenorrhea. Jessica missed her period and eats all the time.
Eating all the time could be caused by food cravings. No birth
control, requently getting up to go to the bathroom at night
Other conditions that could be the cause of Jessica’s symptoms
include diabetes, anemia, gastrointestinal disorders,
malnutrition, endocrine dysfunction and menopause. A blood
test or urine test can diagnose a negative or positive result.
this is a probable sign of pregnancy not proof positive…. what
give a false + HCG test?
What are the proof positive signs of pregnancy?
This is because the hormone hCG is present in both urine and
blood.
Other conditions that could be the cause of Jessica’s symptoms
are pancreatitis and anxiety disorders. The fact that she feels
nauseated shows that she may be having pancreatitis.
“Pancreatitis is an inflammation in your pancreas- an organ that
secretes enzymes to help you digest your food” (Fairbrother et
al, 2017). This may also have made her to have more foods
cravings. She could be having anxiety disorders because these
causes nausea. Her food cravings may have been caused by
pica.
b. Discuss the nutritional needs of Jessica and her baby.
b. You did not include what she is to avoid.
Jessica will need to consume more legumes, nuts and meat.
These will provide her body with iron and proteins. The key
nutrients needed by the baby include iron, vitamin A, calcium,
vitamin C, D, B6 and B12. The baby will need more calcium to
strengthen bones and teeth. Some of the foods that can be taken
include milk and cheese. Foods such as leafy greens and carrots
will provide the vitamin A while vitamin C will be provided by
tomatoes, broccoli, oranges and citrus fruit. Foods such as liver
and whole grain cereals will help provide vitamin B6 and B12.
Vitamin C would help promote healthy gums and bones. It
would also help the body of the pregnant mother to absorb iron.
Iron helps increase the blood flow to ensure that adequate
oxygen is supplied to the baby. “A pregnant woman should be
getting 27 milligrams of iron and 1200 milligrams of calcium”
(Oktay et al, 2016). These nutritional needs are met by ensuring
that one eats a variety of recommended foods.
0. Beth (aged 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)
1. Explain to Beth (in terms she can understand) what general
body adaptations she will experience throughout the remainder
of her pregnancy.
Beth may experience swollen ankles and feet, pain in the
abdomen area, leg cramps, dizziness and skin changes. “You
might be experiencing pain on either one or both sides of your
abdomen or hip area” (Fairbrother et al, 2017). This is caused
by the straining and stretching of the ligaments that hold the
uterus. She may also experience trouble sleeping because of the
huge size of the belly and have frequent heartburn.
0. What psychosocial adaptations may Beth experience as a
result of being a teenage, single mother living at home?
The psychological adaptions include high stress levels, lack of
financial support and emotional disorders. She may also
experience pain during the delivery, fears of giving birth, social
life changes and dramatic body alterations. She may also
experience fears of raising the baby without the help of the
father. The father would be able to provide financial and
emotional support if he was available.
REFERENCES
This reference has nothing to do with the content of these case
studies.
Fairbrother, N., Young, A. H., Zhang, A., Janssen, P., &
Antony, M. M. (2017). The prevalence and incidence of
perinatal anxiety disorders among women experiencing a
medically complicated pregnancy. Archives of women's mental
health, 20(2), 311-319.
Document #3: Annie Xun: Beginning of the Year Questionnaire
Tell Me A Little Bit About Your Child
All information will be kept confidential.
Your Name: Alan
Xun_________________________________________________
______________
Your Child’s Name: Annie
Xun_________________________________________________
_______
Nicknames:
None________________________________________________
__________________
Does your child have allergies or any other health conditions we
should be aware of?
No.__________________________________________________
____________________________
_____________________________________________________
____________________________
What is the most important thing I should know about your
child?
She doesn’t like to sit and do
nothing.______________________________________________
____
_____________________________________________________
____________________________
_____________________________________________________
____________________________
Briefly describe your child’s personality.
Very friendly. Sometimes bossy. Likes to play with other
children.____________________________
_____________________________________________________
____________________________
_____________________________________________________
____________________________
What are some of your child’s favorite activities?
She likes to draw pictures and look at books with pictures. She
like to go to the park and play on__
swings.______________________________________________
_____________________________
_____________________________________________________
____________________________
How will your child get home from school (bus, carpool, other)?
Bus__________________________
Is there anyone else who will regularly pick up your child from
school?
Yes, grandma or
grandpa.______________________________________________
______________
_____________________________________________________
____________________________
Please share any other information that you think will be
important for me to know.
My wife and I work long hours and are not able to spend lot of
time with Annie. My parents take
care of her. They don’t speak a lot of English. My son speaks
English to Annie sometimes.________
_____________________________________________________
____________________________
Tell Me A Little Bit About You and Your Family
Do you speak another language at home? If so, which one?
Chinese.______________________________________________
____________________________
Do you read to your child? How often?
No, her brother reads to her
sometimes.___________________________________________
_____
_____________________________________________________
____________________________
Who else lives at your house (grandparents, siblings, pets,
etc.)?
Grandma, grandpa, uncle, big
brother_______________________________________________
___
_____________________________________________________
____________________________
What is your preferred method of communication (email, phone
call, note, meeting, etc.)?
Email or
note._________________________________________________
____________________
_____________________________________________________
____________________________
How would you like to be involved in our classroom? Please
check all that apply.
___ Cut out materials at home
___ Help at class parties/events
___ Help make art projects and crafts
___ Attend field trips
___ Other
_____________________________________________________
___________
_____________________________________________________
___________
_____________________________________________________
___________
_____________________________________________________
___________
.
©2014 Walden University 2
Document #1: Blue Stream Early Learning Center Overview
Center Information
Founded in 1978
Five Different Classroom Levels
· 6 weeks to 1 year old
· 1 year old to 2 years old
· 2 years old to 3 years old
· 3 years old
· 4 years old and 5 years old
Classroom Size: Up to 12 children
Teacher/Child Ratio: 1:4 to 1:12 (varies by level)
Current Enrollment: 46
No. of Teachers: 12
Student Demographics
Race/Ethnicity
White: 76%
Asian: 13%
Black: 3%
Hispanic: 8%
Gender
Female: 59%
Male: 41%
Household Income
Less than $25,000: 8%
$25,000 to $49,999: 23%
$50,000 to $74,999: 32%%
$75,000 to $99,999: 27%
$100,000 or more: 10%
Single-Income Household: 39%
Dual-Income Household: 61%
Household Type:
One-Parent: 17%
Two-Parent: 78%
Other (Grandparents, Relatives, etc.): 5%
.
©2014 Walden University 1
Document #4: Irene Segers: Beginning of the Year
Questionnaire
Tell Me A Little Bit About Your Child
All information will be kept confidential.
Your Name: Jason
Segers_______________________________________________
__________
Your Child’s Name: Irene
Segers_______________________________________________
____
Nicknames:
None________________________________________________
_______________
Does your child have allergies or any other health conditions we
should be aware of?
No.__________________________________________________
_________________________
_____________________________________________________
_________________________
What is the most important thing I should know about your
child?
She learns best with hands-on
activities.____________________________________________
__
_____________________________________________________
__________________________
_____________________________________________________
__________________________
Briefly describe your child’s personality.
She is very stubborn and likes to do things her way. But she is
also very kind, always willing to share
toys or treats with other
children._____________________________________________
_________
What are some of your child’s favorite activities?
Irene likes being outdoors and running around the park. She
likes to dance and put on little skits._
_____________________________________________________
____________________________
_____________________________________________________
____________________________
How will your child get home from school (bus, carpool, other)?
Car__________________________
Is there anyone else who will regularly pick up your child from
school?
Her
nanny________________________________________________
_________________________
Her mother every other Monday, Wednesday, and
Friday___________________________________
_____________________________________________________
_____________________________
Please share any other information that you think will be
important for me to know.
Her mother and I recently separated, and it’s been hard on
Irene. If she acts out somewhat, that may
be the reason. Please let me know if she
does._____________________________________________
_____________________________________________________
______________________________
Tell Me A Little Bit About You and Your Family
Do you speak another language at home? If so, which one?
Her nanny is fluent in Spanish and English, but I don’t speak
any other languages to her besides____
English.______________________________________________
______________________________
Do you read to your child? How often?
Her nanny reads to her before bed during the week. I try to read
to her during the weekends. I’m not sure if her mother
does.________________________________________________
________________
Who else lives at your house (grandparents, siblings, pets,
etc.)?
No one; just the two of
us.__________________________________________________
____________
What is your preferred method of communication (email, phone
call, note, meeting, etc.)?
Email________________________________________________
_____________________________________________________
_____________________________________________________
__________
How would you like to be involved in our classroom? Please
check all that apply.
_X_ Cut out materials at home
___ Help at class parties/events
___ Help make art projects and crafts
___ Attend field trips
___ Other
_____________________________________________________
___________
_____________________________________________________
___________
_____________________________________________________
___________
_____________________________________________________
___________
.
©2014 Walden University 2
Document #2: John Hall: Beginning of the Year Questionnaire
Tell Me A Little Bit About Your Child
All information will be kept confidential.
Your Name: Stephanie
Hall_________________________________________________
__________
Your Child’s Name: Jonathan
Hall-________________________________________________
______
Nicknames: Jonny,
Jon__________________________________________________
_____________
Does your child have allergies or any other health conditions we
should be aware of?
He has illness-induced asthma and is allergic to
strawberries._______________________________
_____________________________________________________
____________________________
What is the most important thing I should know about your
child?
He is painfully shy around new children and adults, but he can
be talkative once he gets__________ comfortable with someone.
One-on-one interactions are the best way to get him out of his
shell._
_____________________________________________________
____________________________
Briefly describe your child’s personality.
Jonny is very shy. He prefers to play by himself instead of with
other children. He is very curious and
will ask a lot of questions, once he is familiar with a
person.__________________________________
_____________________________________________________
______________________________
What are some of your child’s favorite activities?
He likes to build things with Legos and read books with pictures
of dinosaurs in them______________
_____________________________________________________
______________________________
_____________________________________________________
______________________________
How will your child go home from school (bus, carpool, other)?
By car--__________________________
Is there anyone else who will regularly pick up your child from
school?
No__________________________________________________
_______________________________
Please share any other information that you think will be
important for me to know.
Jonny works best in a structured environment, and he can
sometimes have difficulty with unstructured time. He doesn’t
usually have tantrums, but when he does, the best way to handle
it is to give him____ activities that he can do by alone--puzzles,
blocks, coloring books, etc.____________________________
Tell Me A Little Bit About You and Your Family
Do you speak another language at home? If so, which one?
-No_________________________________________________
_______________________
Do you read to your child? How often?
Yes, every night before he goes to
bed.___________________________________________
_____________________________________________________
______________________
Who else lives at your house (grandparents, siblings, pets,
etc.)?
--No one else aside from me, Jonny, and my husband. We have
two cats.-_________________
_____________________________________________________
______________________
What is your preferred method of communication (email, phone
call, note, meeting, etc.)?
Phone call, but email, meetings, and notes are all
fine.______________________________
_____________________________________________________
_____________________
How would you like to be involved in our classroom? Please
check all that apply.
_X_ Cut out materials at home
_X_ Help at class parties/events
_X_ Help make art projects and crafts
_X_ Attend field trips
_X_ Other I’m a stay-at-home parent, so if you need an extra
adult, I’m always__
available and willing to help. Please don’t hesitate to
ask.____________
_____________________________________________________
______
_____________________________________________________
______
.
©2014 Walden University 2
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  • 1. CC003 PERFORMANCE TASK ANALYSIS Please citate all information and include reference page on each part. Part I: Family Engagement As you begin to consider how you will engage families at the start of the new school year, it is important to reflect upon why family engagement is necessary and beneficial for children, families, and early childhood programs. Review Document #1: Blue Stream Early Learning Center Overview. In two to three pages, do the following: · Explain why family engagement is important for the healthy development of children and why it is essential to creating a foundation for effective early childhood practice. · Describe at least two strategies that you would use to engage families prior to the beginning of the school year. · Explain why you chose these strategies and how each strategy can be used to promote a respectful, reciprocal, and responsive partnership with the families.Part II: Individualized Family Communication Plans Imagine that it is now the second week of the school year. You have received the completed Beginning of the Year Questionnaires that you sent to the children’s families as seen in the following documents: · Document #2: Jon Hall: Beginning of the Year Questionnaire · Document #3: Annie Xun: Beginning of the Year Questionnaire · Document #4: Irene Segers: Beginning of the Year Questionnaire Based on the questionnaires, create an individualized plan for how you would communicate and collaborate with each of the three children’s families. Each of the three individualized plans should be two pages in length and include: · An explanation of the initial method of communication you
  • 2. will use with the family. Explain why you chose the method for this specific family. · A description of at least one potential obstacle you might face in communicating with the family. · Describe at least one strategy you might use to overcome the obstacle you identified, so you can effectively communicate and collaborate with the family. · An explanation of how you will communicate information to the family about their child’s overall development and academic progress. Provide a rationale for your choice. · An explanation of how you will communicate to the family the opportunities for them to engage in the classroom. Provide a rationale for your choice. Include an explanation of why building a partnership with this family is essential to the healthy development of the child(ren) in this family. · A description of at least one strategy you would use to obtain information from the family. Provide a rationale for your choice.Part III: Family Newsletter A month has passed, and it is time to update the families on their children’s progress. Your newsletter should should include: · An overview of learning and development that has taken place in the classroom since the first month of school. · A welcome to families and an invitation to volunteer or become involved in the classroom community at Blue Stream Early Childhood Center. Provide at least one specific way families can volunteer or become involved in the classroom community. · At least one recommendation for promoting their child’s emotional, social, cognitive, or physical development at home. Essentials of Maternity, Newborn, and Women's Health Nursing Chapter 13: Labor and Birth Process Emily, age 32, has an obstetrical history of G1, T0, P0, A0, L0. Emily’s week of gestation is 39.1. Emily telephones the health
  • 3. care provider’s office and tells the nurse she believes she is in labor. Based on her assessment, the nurse advises her to have her husband bring her to the labor and birth unit. Emily arrives and is admitted. She is talkative and excited about being in labor and describes her contractions and discomfort as mild. The following are the assessment findings of the examining nurse: Maternal vital signs are stable. Fetal heart tones with the external fetal monitor are reassuring. Vaginal exam indicates the cervix is 3 cm dilated, 40% effaced, membranes intact with the presenting part engaged. Ten minutes after the vaginal exam by the nurse, Emily says, “I think I just wet my pants.” (Learning Objectives 2, 6, 7, and 8) a. What questions might the nurse have asked Emily to determine that she may be in true labor? What prenatal history information should the nurse have obtained during the telephone call? The questions include asking whether she is in pain, specifically whether or not she has low back pain. The nurse might also ask whether there is vaginal bleeding. The prenatal information would be the intensity and frequency of contractions. Other questions: When did the contractions begin? Where do you feel the pain.. back or belly? Does rest or drinking fluid help the pain? Fetal movements? b. Explain the meaning of the nurse’s assessment findings. Identify the stage and phase of labor, listing the physiologic and psychological changes during this stage. What positions and activities would be appropriate for Emily based on the assessment data? b. Did not develop one part of this question. If the cervix is 3 cm dilated, 40 % effaced, Emily is in active labor. During phase 1, the cervix begs to dilate and continues to thin for the delivery. “Vitals are stable and FHT are reassuring
  • 4. meaning the fetus is not in any distress” (Oktay et al, 2016). The psychological changes include exhaustion, anxiety and fatigue while the physiological changes include increase in breathing and blood sugar. The appropriate activities would be to have Emily walk around to help in moving labor. Emily can participate in activities that involve walking. c. Describe the nursing interventions that would be appropriate for the nurse to implement based on Emily’s statement that “I think I just wet my pants.” The nursing interventions are to assess the FHR and determine the color and odor of amniotic fluid in case the membranes ruptured. Vital signs should be assessed and nearness to birth should also be determined by evaluating cervical dilation and contractions. Note the time of ROM Notify HCP 2. Diane, age 22, has been in labor for 8 hours. Her cervical exam reveals she is 3 cm, 30% effaced and –1 station. Diane has been feeling most of her pain in her lower back. (Learning Objectives 3, 4, and 5) 1. Given your understanding of the 5 P’s and the cardinal movements of labor, discuss why Diane is having back labor and why her progress is slow. The cause of slow labor progress is the Passenger. The malposition of fetus causes it. You have to identify the fetal positon that causes back pain and slow progress. “The fetus is the ‘passenger travelling down the birth canal” (Subramaniam et al, 2019). The low progress may be as a result of the fetal head being too large in addition to the mispositioning. There might be exertion of pressure on the mother’s sacral backbone which causes the back pain and poor cervical dilatation. 0. What strategies may the nurse implement to assist Diane in progressing in her labor? The strategies are:
  • 5. a. Telling her to squat b. Asking her to sit on the birth ball c. Use of the miles circuit technique d. Conducting abdominal lift e. Asking Diane to balance on knees and hands on a bed to help adjust fetal position. It is good to encourage Diane that she will be able to bear the pain of delivery. Since she has attained full dilation, she may give birth soon. Incorrect she is at 3cms.. a log way to go Diane should also remind on the birth plan. REFERENCES Oktay, K., Bedoschi, G., Pacheco, F., Turan, V., & Emirdar, V. (2016). First pregnancies, live birth, and in vitro fertilization outcomes after transplantation of frozen-banked ovarian tissue with a human extracellular matrix scaffold using robot-assisted minimally invasive surgery. American journal of obstetrics and gynecology, 214(1), 94-e1. Subramaniam, A., Tita, A. T., & Rouse, D. J. (2019). Obstetric Management of Labor and Vaginal Delivery. Chestnut's Obstetric Anesthesia E-Book, 393. 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
  • 6. 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) a. 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? a. The above question is not answered. The subjective symptoms include nausea, breast tenderness and amenorrhea. Jessica missed her period and eats all the time. Eating all the time could be caused by food cravings. No birth control, requently getting up to go to the bathroom at night Other conditions that could be the cause of Jessica’s symptoms include diabetes, anemia, gastrointestinal disorders, malnutrition, endocrine dysfunction and menopause. A blood test or urine test can diagnose a negative or positive result. this is a probable sign of pregnancy not proof positive…. what give a false + HCG test? What are the proof positive signs of pregnancy? This is because the hormone hCG is present in both urine and blood. Other conditions that could be the cause of Jessica’s symptoms are pancreatitis and anxiety disorders. The fact that she feels nauseated shows that she may be having pancreatitis. “Pancreatitis is an inflammation in your pancreas- an organ that secretes enzymes to help you digest your food” (Fairbrother et al, 2017). This may also have made her to have more foods cravings. She could be having anxiety disorders because these causes nausea. Her food cravings may have been caused by pica. b. Discuss the nutritional needs of Jessica and her baby. b. You did not include what she is to avoid.
  • 7. Jessica will need to consume more legumes, nuts and meat. These will provide her body with iron and proteins. The key nutrients needed by the baby include iron, vitamin A, calcium, vitamin C, D, B6 and B12. The baby will need more calcium to strengthen bones and teeth. Some of the foods that can be taken include milk and cheese. Foods such as leafy greens and carrots will provide the vitamin A while vitamin C will be provided by tomatoes, broccoli, oranges and citrus fruit. Foods such as liver and whole grain cereals will help provide vitamin B6 and B12. Vitamin C would help promote healthy gums and bones. It would also help the body of the pregnant mother to absorb iron. Iron helps increase the blood flow to ensure that adequate oxygen is supplied to the baby. “A pregnant woman should be getting 27 milligrams of iron and 1200 milligrams of calcium” (Oktay et al, 2016). These nutritional needs are met by ensuring that one eats a variety of recommended foods. 0. Beth (aged 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) 1. Explain to Beth (in terms she can understand) what general body adaptations she will experience throughout the remainder of her pregnancy. Beth may experience swollen ankles and feet, pain in the abdomen area, leg cramps, dizziness and skin changes. “You might be experiencing pain on either one or both sides of your abdomen or hip area” (Fairbrother et al, 2017). This is caused by the straining and stretching of the ligaments that hold the uterus. She may also experience trouble sleeping because of the huge size of the belly and have frequent heartburn. 0. What psychosocial adaptations may Beth experience as a
  • 8. result of being a teenage, single mother living at home? The psychological adaptions include high stress levels, lack of financial support and emotional disorders. She may also experience pain during the delivery, fears of giving birth, social life changes and dramatic body alterations. She may also experience fears of raising the baby without the help of the father. The father would be able to provide financial and emotional support if he was available. REFERENCES This reference has nothing to do with the content of these case studies. Fairbrother, N., Young, A. H., Zhang, A., Janssen, P., & Antony, M. M. (2017). The prevalence and incidence of perinatal anxiety disorders among women experiencing a medically complicated pregnancy. Archives of women's mental health, 20(2), 311-319. Document #3: Annie Xun: Beginning of the Year Questionnaire Tell Me A Little Bit About Your Child All information will be kept confidential. Your Name: Alan Xun_________________________________________________ ______________ Your Child’s Name: Annie Xun_________________________________________________ _______ Nicknames: None________________________________________________ __________________
  • 9. Does your child have allergies or any other health conditions we should be aware of? No.__________________________________________________ ____________________________ _____________________________________________________ ____________________________ What is the most important thing I should know about your child? She doesn’t like to sit and do nothing.______________________________________________ ____ _____________________________________________________ ____________________________ _____________________________________________________ ____________________________ Briefly describe your child’s personality. Very friendly. Sometimes bossy. Likes to play with other children.____________________________ _____________________________________________________ ____________________________ _____________________________________________________ ____________________________ What are some of your child’s favorite activities? She likes to draw pictures and look at books with pictures. She like to go to the park and play on__ swings.______________________________________________ _____________________________ _____________________________________________________ ____________________________ How will your child get home from school (bus, carpool, other)? Bus__________________________
  • 10. Is there anyone else who will regularly pick up your child from school? Yes, grandma or grandpa.______________________________________________ ______________ _____________________________________________________ ____________________________ Please share any other information that you think will be important for me to know. My wife and I work long hours and are not able to spend lot of time with Annie. My parents take care of her. They don’t speak a lot of English. My son speaks English to Annie sometimes.________ _____________________________________________________ ____________________________ Tell Me A Little Bit About You and Your Family Do you speak another language at home? If so, which one? Chinese.______________________________________________ ____________________________ Do you read to your child? How often? No, her brother reads to her sometimes.___________________________________________ _____ _____________________________________________________ ____________________________ Who else lives at your house (grandparents, siblings, pets, etc.)? Grandma, grandpa, uncle, big brother_______________________________________________
  • 11. ___ _____________________________________________________ ____________________________ What is your preferred method of communication (email, phone call, note, meeting, etc.)? Email or note._________________________________________________ ____________________ _____________________________________________________ ____________________________ How would you like to be involved in our classroom? Please check all that apply. ___ Cut out materials at home ___ Help at class parties/events ___ Help make art projects and crafts ___ Attend field trips ___ Other _____________________________________________________ ___________ _____________________________________________________ ___________ _____________________________________________________ ___________ _____________________________________________________ ___________ . ©2014 Walden University 2
  • 12. Document #1: Blue Stream Early Learning Center Overview Center Information Founded in 1978 Five Different Classroom Levels · 6 weeks to 1 year old · 1 year old to 2 years old · 2 years old to 3 years old · 3 years old · 4 years old and 5 years old Classroom Size: Up to 12 children Teacher/Child Ratio: 1:4 to 1:12 (varies by level) Current Enrollment: 46 No. of Teachers: 12 Student Demographics Race/Ethnicity White: 76% Asian: 13% Black: 3% Hispanic: 8% Gender Female: 59% Male: 41% Household Income Less than $25,000: 8% $25,000 to $49,999: 23% $50,000 to $74,999: 32%% $75,000 to $99,999: 27% $100,000 or more: 10% Single-Income Household: 39% Dual-Income Household: 61%
  • 13. Household Type: One-Parent: 17% Two-Parent: 78% Other (Grandparents, Relatives, etc.): 5% . ©2014 Walden University 1 Document #4: Irene Segers: Beginning of the Year Questionnaire Tell Me A Little Bit About Your Child All information will be kept confidential. Your Name: Jason Segers_______________________________________________ __________ Your Child’s Name: Irene Segers_______________________________________________ ____ Nicknames: None________________________________________________ _______________ Does your child have allergies or any other health conditions we should be aware of? No.__________________________________________________ _________________________ _____________________________________________________ _________________________ What is the most important thing I should know about your
  • 14. child? She learns best with hands-on activities.____________________________________________ __ _____________________________________________________ __________________________ _____________________________________________________ __________________________ Briefly describe your child’s personality. She is very stubborn and likes to do things her way. But she is also very kind, always willing to share toys or treats with other children._____________________________________________ _________ What are some of your child’s favorite activities? Irene likes being outdoors and running around the park. She likes to dance and put on little skits._ _____________________________________________________ ____________________________ _____________________________________________________ ____________________________ How will your child get home from school (bus, carpool, other)? Car__________________________ Is there anyone else who will regularly pick up your child from school? Her nanny________________________________________________ _________________________ Her mother every other Monday, Wednesday, and Friday___________________________________ _____________________________________________________ _____________________________
  • 15. Please share any other information that you think will be important for me to know. Her mother and I recently separated, and it’s been hard on Irene. If she acts out somewhat, that may be the reason. Please let me know if she does._____________________________________________ _____________________________________________________ ______________________________ Tell Me A Little Bit About You and Your Family Do you speak another language at home? If so, which one? Her nanny is fluent in Spanish and English, but I don’t speak any other languages to her besides____ English.______________________________________________ ______________________________ Do you read to your child? How often? Her nanny reads to her before bed during the week. I try to read to her during the weekends. I’m not sure if her mother does.________________________________________________ ________________ Who else lives at your house (grandparents, siblings, pets, etc.)? No one; just the two of us.__________________________________________________ ____________ What is your preferred method of communication (email, phone call, note, meeting, etc.)? Email________________________________________________ _____________________________________________________ _____________________________________________________
  • 16. __________ How would you like to be involved in our classroom? Please check all that apply. _X_ Cut out materials at home ___ Help at class parties/events ___ Help make art projects and crafts ___ Attend field trips ___ Other _____________________________________________________ ___________ _____________________________________________________ ___________ _____________________________________________________ ___________ _____________________________________________________ ___________ . ©2014 Walden University 2 Document #2: John Hall: Beginning of the Year Questionnaire Tell Me A Little Bit About Your Child All information will be kept confidential. Your Name: Stephanie Hall_________________________________________________ __________
  • 17. Your Child’s Name: Jonathan Hall-________________________________________________ ______ Nicknames: Jonny, Jon__________________________________________________ _____________ Does your child have allergies or any other health conditions we should be aware of? He has illness-induced asthma and is allergic to strawberries._______________________________ _____________________________________________________ ____________________________ What is the most important thing I should know about your child? He is painfully shy around new children and adults, but he can be talkative once he gets__________ comfortable with someone. One-on-one interactions are the best way to get him out of his shell._ _____________________________________________________ ____________________________ Briefly describe your child’s personality. Jonny is very shy. He prefers to play by himself instead of with other children. He is very curious and will ask a lot of questions, once he is familiar with a person.__________________________________ _____________________________________________________ ______________________________ What are some of your child’s favorite activities? He likes to build things with Legos and read books with pictures of dinosaurs in them______________
  • 18. _____________________________________________________ ______________________________ _____________________________________________________ ______________________________ How will your child go home from school (bus, carpool, other)? By car--__________________________ Is there anyone else who will regularly pick up your child from school? No__________________________________________________ _______________________________ Please share any other information that you think will be important for me to know. Jonny works best in a structured environment, and he can sometimes have difficulty with unstructured time. He doesn’t usually have tantrums, but when he does, the best way to handle it is to give him____ activities that he can do by alone--puzzles, blocks, coloring books, etc.____________________________ Tell Me A Little Bit About You and Your Family Do you speak another language at home? If so, which one? -No_________________________________________________ _______________________ Do you read to your child? How often? Yes, every night before he goes to bed.___________________________________________ _____________________________________________________ ______________________ Who else lives at your house (grandparents, siblings, pets,
  • 19. etc.)? --No one else aside from me, Jonny, and my husband. We have two cats.-_________________ _____________________________________________________ ______________________ What is your preferred method of communication (email, phone call, note, meeting, etc.)? Phone call, but email, meetings, and notes are all fine.______________________________ _____________________________________________________ _____________________ How would you like to be involved in our classroom? Please check all that apply. _X_ Cut out materials at home _X_ Help at class parties/events _X_ Help make art projects and crafts _X_ Attend field trips _X_ Other I’m a stay-at-home parent, so if you need an extra adult, I’m always__ available and willing to help. Please don’t hesitate to ask.____________ _____________________________________________________ ______ _____________________________________________________ ______ . ©2014 Walden University 2