-As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?|My course tutor

Posted: February 27th, 2023

Instructions: Read the following case study and answer the reflective questions.

Requirements:

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– Formatted and cited in current APA 7

– The discussion must address the topic

– Rationale must be provided

– Use at least 600 words (no included 1st page or references in the 600 words)

– Use 3 academic sources. Not older than 5 years

– Plagiarism is NOT allowed.

Ø Plagiarism is NOT allowed

CASE STUDY: Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information.

Reflective Questions 

1-As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?

2-How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views?

3-With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future?

SOLUTION

 

As a nurse attending Mrs. Wong and her husband, the first priority would be to assess their current emotional state and provide emotional support. This can be achieved by creating a calm and supportive environment and acknowledging their concerns about their unborn child. Additionally, it is essential to gather relevant medical history, including any previous pregnancies, maternal and fetal medical conditions, and any interventions taken during the current pregnancy. To help define relevant interventions that meet their needs, it is important to gather information on their preferences and concerns about the birthing process, including any cultural or spiritual beliefs that may impact their decisions. Specifically, it is crucial to inquire about their decision-making process regarding the potential spinal defect and the reasons behind their choices.

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