Competency

Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.

Scenario

You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

Social history:

· (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years

· (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use

· Abusive partner with first pregnancy, states she has a new partner x 4 years

· Depression, currently not taking meds for treatment (tx)

Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

Instructions

Write a three-page analysis of this scenario that answers the following questions:

1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?

2. Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.

3. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?

4. What concerns should be discussed with Ms. Jones before she leaves her appointment?

Each answer to your question should include the following:

· A correct answer with thorough development of the topic

· Gives clinical examples

· Include evidence from scholarly sources

· Appropriate use of medical terminology

Format

· Standard American English (correct grammar, punctuation, etc.)

· Logical, original and insightful

· Professional organization, style, and mechanics in APA format

[removed]

SCENARIO – You are preparing a seminar for your unit staff on effective communication. Your department supervisor has expressed interest in the seminar and wishes to review your material. You have decided you will present the Emotional Intelligence model. The EI (Emotional Intelligence) model has been promoted as a tool that is especially useful in toxic environments.

You develop a role-playing exercise to accompany the presentation. Once you have completed your rough draft, you share your work with the department supervisor. The department supervisor states, “I like your idea behind the seminar, but why are you presenting the EI model? Is your department that disruptive and chaotic? You feel that the nursing supervisor is criticizing your presentation, and you are set back by this line of questioning.

Instructions:

1. Read the scenario above, and then answer the following questions:

a. How should you respond to this statement?

b. Do you feel that the EI model could be useful in this situation? Why or why not? 

c. Do you feel the use of EI would assist in the resolution of this exchange? 

d. Do you personally relate to the aspects of EI, and do you think that it complements your personality?

2. Your paper should be:

. One (1) page

. Typed according to 

APA Writing StyleLinks to an external site.
 for margins, formatting and spacing standards.

MY NUMBER ASSIGNED WAS 3 WHICH IS: NIH Stroke Scale

Initial post:Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based. Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style. Each week include a paragraph with the results from one of your weekly interviews.Discussion post assignments are worth 20 points each as follows: 

• 5 points for the quality of your bullet points.
• 5 points for the quality of your question.
• 5 points for answering the question of a peer as your response.
• 5 points for the quality of your rationale.
  • Quality is defined as thorough and thoughtful while demonstrating professional level knowledge of the topic.

Module 02 Project Assignment – Selection of Alteration in Health (Disease)

Top of Form

Bottom of Form

Module 02 Content

1.

Top of Form

This is the first submission for this project. Please select an alteration in health (disease) that you would like to work on. Be sure to select a disease that has enough information and depth to meet the project requirements.

Describe the selection in one paragraph and why you chose it. You may use your textbook or other resources for your selection. The disease selected must be approved by your instructor before you continue on to the next project assignment.

Bottom of Form