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

You are the Corporate Director for Universal Medical Supplies, Inc. You have been asked to present at an upcoming business leadership conference. The presentation will cover Critical Thinking for Challenges in Communication in the Workplace, related to specific topics. The intended audience is business leaders in many different industries.

Instructions

Choose an element of or an issue related to
one of the following specific workplace challenges: Conflict Resolution, Diversity Awareness, or Gender Issues. Create a slideshow presentation that includes concepts of critical thinking related to your chosen topic and include industry examples. Audio narration/voiceover must be incorporated that fully explains your ideas.

Your presentation should include:

· An introductory slide.

· Minimum of 2 slides on critical thinking skills in reading, listening, and writing, related to your chosen topic.

· Minimum of 2 slides on valid and invalid arguments, including cogent reasoning, related to your chosen topic.

· Minimum of 2 slides on inductive and deductive reasoning, related to your chosen topic.

· Minimum of 1 slide on inference in communication, related to your chosen topic.

· A conclusion slide to summarize ideas presented.

· Reference slide with all resources listed.

· Audio/voiceover narration to accompany the slideshow. It should be between 7 and 10 minutes in length and include detailed information about the topics on each slide.

Create a final presentation using a screen recording tool such as Screencast-O-Matic or PowerPoint with audio.

For assistance with creating a PowerPoint presentation with voiceover, please see the following:

·

Rasmussen Guide to Writing PowerPoint Presentations

·

How do I make a video of a PowerPoint presentation using Screencast-O-Matic?

·

How do I create an audio recording (with PowerPoint)?

 

After studying Module 5: Lecture Materials & Resources, discuss the following:

Jay and Sue Kim, ages 29 and 26 years and married for 2 years, immigrated from South Korea and settled in Los Angeles. They have lived in a small one-bedroom apartment since their arrival. Both graduated from the same Korean university with baccalaureate degrees in English literature. They have one child, Joseph, age 1 year. When they arrived in the United States, Jay was unable to find a job because of his poor proficiency in English, despite his major in English literature. He eventually obtained a job with a moving company through a church friend. Sue is not working because of their son. Although the Kim’s did not attend a church before immigration, they are now regularly attending a Korean Protestant church in their neighborhood.

Sue is pregnant again, determined by a home pregnancy kit, with their second child and concerned about the medical costs. They did not use any contraceptives because she was breastfeeding. Because of financial limitations, Sue did not initially have prenatal care with her first pregnancy. However, she did keep up with the Korean traditional prenatal practice, tae-kyo. Eventually, she received help from her church and delivered a healthy son. She is not sure whether she can get financial help from her church again but is confident that her second child will be healthy if she follows the Korean traditional prenatal practices.

Jay is concerned about job security because he recently heard from colleagues that the moving company might soon go bankrupt. Although Jay has not been satisfied with his current job (he thinks that he is overqualified), this news is still a cause for concern. Moreover, Sue’s recent pregnancy has made Jay more stressed, and he has started drinking alcohol. Joseph cannot stand up by himself and still wants to be breastfed. Although Sue has tried to give foods such as oranges, apples, steamed rice, and milk (because she is now pregnant), Joseph refuses to eat them and cries for breastfeeding. Joseph’s weight is low-normal for same-age babies.

1. Describe the Korean cultural practice tae-kyo. Is this practice congruent with allopathic recommendations for prenatal care?
2. How do food choices among Koreans differ with pregnancy and postpartum?
3. Describe cultural attitudes toward drinking among Koreans.
4. Identify two or three culturally congruent strategies a healthcare provider might use to address Jay’s drinking.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
• All replies must be constructive and use literature where possible.
• Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
• You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

Making judgement as to whether a theory could be adapted for use in research is very important.  Describe the internal and external criticism that is used to evaluate middle range theories.

Instructions

Population Health Intervention and Social Marketing Assignment

In this assignment, you will build on the community assessment you completed. First, start with the Community Health Diagnosis, the priority health needs you identified at the end of the Community Assessment, and the goal and objectives you drafted when you completed the Goals and Behavioral Objectives lesson at How to Write Community Health Education Behavioral Objectives https://softchalkcloud.com/lesson/serve/D5P10ig3MWJOVx/html (from Module/Week 9)

Build on the community assessment assignment, community health diagnosis, goals, and behavioral objectives to add the population intervention and social marketing assignment.

Save the goals and objectives you use during this activity for a future discussion posting!

Population Health Intervention and Social Marketing Experience: Go to https://www.softchalkcloud.com/lesson/serve/C3ePZu4cWLHRdI/html

Complete the Population Health Intervention and Social Marketing Assignment learning/assessment activity and at the end of the activity—see the last page under references at the bottom of the page to retrieve a certificate of completion and submit to the courseroom dropbox for credit. Passing is 95% to earn the certificate but you may retake the questions in the module as many times as you want to earn a higher grade.

How to Save Your Certificate on Your Device in Digital Format

To save your certificate in digital format on your device, select print on your device when the certificate is showing. (Yes, select print, even though you will not be printing it!) Instead of choosing a printer on the printer options, select save as a PDF file. Save the certificate as a PDF to your device. Then upload the certificate to the courseroom dropbox for grade credit.

Another technique is to take a picture with your smartphone and upload the image to the assignment dropbox for grade credit.

Hovering your mouse over the certificate, using a right-click, and selecting the menu item to save as an image and saving to your device as a jpg or png file is the least effective method, as depending on your computer/web browser settings, this may save the certificate as blank.

The score summary is not required. The certificate is required for grade credit.