BEFORE ANYTHING, I would like to mention that this case study is available on Quizlet, Course Hero, Chegg, and many other students sites. PLEASE DO NOT COPY FROM THERE. You can definitely educate yourself through these sites, to know what to write about but you cannot copy-paste because it is considered plagiarism and I will receive a grade of zero. We don’t want that. You need to make up your own answers using the two books attached. You can also use one outside source if that would help you answer the questions. But use something from the books as well, because the professor wants to see that we are reading books.Also, DO NOT INCLUDE THE QUESTIONS ON THE PAGE. MARK IT AS PRE CASE AND THEN JUST NUMBERS: 1,2,3 THEN POST CASE 1,2,3,4,5. I will know which question you are answering by the number you put. I say that because I do not want to spend half of the page on the questions which I can include later. I need more writing than copy-pasting questions on the actual page.
THIS ASSIGNMENT HAS 3 PARTS:PRE- VIDEO CASE DISCUSSION GUIDE 3 QUESTIONSPOST-CASE DISCUSSION GUIDE—5 QUESTIONSREPLY TO YOUR 2 CLASSMATES ON THE SAME DISCUSSION POST PRE AND POST-VIDEO CASE DISCUSSION.PART 1:Answer the following questions:
Community Case: Teen Maternal-Child HealthCASE INTRODUCTIONViolet Berry, a 16-year-old pregnant with her first child, and her boyfriend, Cory Peterson, make a visit to the school nurse’s office.BRIEF SUMMARY OF CASECase Part 1 (text): Violet Berry is a 16-year-old Black female who is 28 weeks pregnant. She is gravida 1. She lives at home with her mother, grandmother, grandfather, and younger brother. Violet is in 10th grade at the local high school. She is 63 inches tall. Her prepregnancy weight was 110 pounds, and she currently weighs 118 pounds. She has generally been feeling well. The father of the baby, Cory Peterson, is also in 10th grade and tells Violet he wants to be a part of the life of her and the baby after the delivery. Violet went for her first visit to the prenatal clinic last week. She waited as long as she could because she did not want to tell her family that she was pregnant.Current data reveal a reversal in the increase of teen pregnancy in the United States (Daley, 2012; www.cdc.gov); however, even with this lower rate, the United States continues to have the highest of teen birth rates of all industrialized nations. Most teens still report pregnancies as unintended. Early parenthood frequently influences the educational, developmental, social, mental health, and financial outcomes especially for the teen mother, but also for her child, family, and community. Additionally, teen pregnancy influences the rate of sexually transmitted infections among the teen population, which is among some of the highest.Case Part 2 (video):Violet and her boyfriend, Cory, visit the school nurse to discuss her pregnancy. Violet is 28 weeks pregnant and is well supported by her boyfriend. In this scene, the school nurse discusses priorities for Violet during her pregnancy and commends her boyfriend for his support.(I WILL ATTACH THE VIDEO)
PRE- VIDEO CASE DISCUSSION GUIDE1. What are some of the issues that concern you about Violet?2. What other information might you want to know from Violet?3. What important data are related to infant mortality and teen pregnancy?PART 2:POST-CASE DISCUSSION GUIDE—QUESTIONS1. What should the nurse include in prenatal teaching related to Violet’s low weight gain, low back pain, and prenatal care?2. What should the nurse discuss with Violet on future visits?3. What data related to teen pregnancy would be helpful to know?4. What are two strategies for teen pregnancy prevention that you could apply in the community where you live? Who would you need to work with to introduce an evidence-based program where you live?5. In anticipation of the delivery of Violet’s baby and her return to her home, what type of teaching should the nurse provide to Violet?
PART 3:STUDENT’S POST: PRE- VIDEO CASE DISCUSSIONTO REPLY TO IT:1. What are some of the issues that concern you about Violet?I am concerned about Violet’s pregnancy weight gain. Her prepregnancy weight was 110 pounds, and she currently weighs 118 pounds—that’s only 8 pounds gain. I calculated Violet’s BMI based on her weight and height before pregnancy and the result was 19.5 which is a healthy and normal BMI. According to the CDC, the total pregnancy weight gain during pregnancy for a woman with a BMI that falls between 18.5-24.9 is 25 to 35 pounds. Violet is 28 weeks pregnant, by now she should have gained about 19 pounds instead of just 8. So, this finding really concerns me. I am also concerned about Violet’s late prenatal care. From the report, it appears that she was hiding the pregnancy from her family and as a result, failed to seek prenatal care not until she was 27 weeks pregnant. Taking prenatal supplements are very important to prevent major birth defects. Also, early prenatal screening and blood tests are important to help detect abnormalities (anemia, low fetus weight, diabetes, elevated AFP, etc.) in pregnancy so they can be further evaluated. This may be the reason behind Violet’s low pregnancy weight gain. If the risk of low-calorie intake has been detected earlier in the first trimester during routine prenatal screening tests, it could have been prevented. Now there is a possibility that her baby will be born underweight to say the least. 49% of all teen mothers do not receive a high school diploma and 48% of teen mothers in the United States live in poverty (Gilpatrick,2015). This is an alarming statistic that also concerns me regarding Violet’s future as well as her baby’s.
2. What other information might you want to know from Violet?A well-balanced diet is very important for a pregnant woman, so I would want to know about Violet’s nutrition. I would need to know about her sexual behavior so that I can identify any risk for sexually transmitted diseases. I would want to know about medications that she may be taking, her smoking and drinking status. But importantly, at this stage of her pregnancy, I would want to know about her social support, her plans for the upcoming baby, any questions, or concerns that she may have regarding the pregnancy.
3. What important data are related to infant mortality and teen pregnancy?
When compared with births among women aged 20 and over, teen pregnancies result in higher rates of neonatal and infant mortality, preterm birth, low birthweight, and maternal complications (CDC)Referenceshttps://www.cdc.gov/pregnancy/during.html
STUDENT’S POST #2: POST- VIDEO CASE DISCUSSIONTO REPLY TO IT:1. What should the nurse include in prenatal teaching related to Violet’s low weight gain, low back pain, and prenatal care?The nurse should teach her about the importance of maintaining good nutrition to meet the demand of her body and the fetal growth and development as the pregnancy progresses in the third trimester. Calorie intake should be increased to about 300/day during pregnancy. Now that she is already gaining less weight than what is recommended based on her BMI, keeping up with a well-balanced diet is even more crucial. Prenatal vitamins such as Iron and folic acid need to be supplemented. As the pregnancy progresses to the third trimester, low back pain is common as the growing fetus expands the uterus in the abdominal cavity and compresses adjacent structures (Ricci, 2021).2. What should the nurse discuss with Violet on future visits?On her next visit, the nurse should discuss some discomforts associated with the third trimester and how to manage them. These include shortness of breath, dyspnea, heartburn, dependent edema, Braxton hicks’ contractions, urinary frequency. The nurse should teach about the importance of exercise, sleep, rest, as well as positions to avoid. The nurse should discuss about danger signs and symptoms of pregnancy such as bleeding or painful contractions and how to proceed if they are present.3. What data related to teen pregnancy would be helpful to know?Teen mothers have lower levels of socioeconomic attainment than their child- less peers: they are less likely to complete high school, attend college, or earn a bachelor’s degree, and they tend to earn less and are more likely to experience poverty (Diaz, 2016). It is important to know because the nurse can help identify any program in the community that facilitate teen moms further advance their education while taking care of their baby. This could help Violet immensely in case she doesn’t have family support.
4. What are two strategies for teen pregnancy prevention that you could apply in the community where you live? Who would you need to work with to introduce an evidence-based program where you live?The first strategy that I would apply to prevent teen pregnancy in my community would be abstinence. I would present to them the information about how pregnancy can negatively affect their future as well as their babies’ future. This maybe able to deter their behavior about engaging in early intercourse that may jeopardize their future.The second strategy would be to introduce contraceptive measures such as intrauterine devices (IUDs). According to the CDC, Intrauterine devices (IUDs) and implants, known as Long-Acting Reversible Contraception (LARC), are the most effective types of birth control for teens. LARC is safe to use, does not require taking a pill each day or doing something each time before having sex, and can prevent pregnancy for 3 to 10 years, depending on the method.I would need to work with many sectors of the population in the community. Their efforts would be equally required for those measures to be successful. Sectors like health, media, parents, community activists, education, church etc., all would need to be included.
5. In anticipation of the delivery of Violet’s baby and her return to her home, what type of teaching should the nurse provide to Violet?The nurse would need to teach her how to differentiate true signs of labor from false signs and how to recognize them. Education about postpartum precautions at home (exercises, heavy lifting) should be addressed and based on the type of delivery. The nurse should address the importance of a well-balanced nutrition, breastfeeding, breast care, and any pain should be reported while breastfeeding her baby. The nurse should discuss lochia, which is bleeding after delivery. Amount, color, and clot should be monitored and reported if not within normal findings. The nurse should also discuss how to care and how position the baby to sleep to avoid SIDS (sudden infant death syndrome). Postpartum care follow-up visits for her and the baby should be discussed, as well as baby vaccinations schedules. Community group support should be also discussed and presented to her in case home support is absent.
Ricci, S et al, (2021). Lippincott CoursePoint Enhanced for Ricci et al: Maternity and Pediatric Nursing (4th Edition). Wolters Kluwer Health. Susan Ricci; Teresa Kyle; Susan Carman ISBN: 978-1-975156-79-4PermalinkShow parentReply
Finally, I am including 1 reply to the student that I also need to reply to. So you use it as a guide how the reply to students should look like:
I agree with the information you would want to gather from Violet. I think it is important to find out her sexual history and to test for STIs. This is something I didn’t even consider in my own response but is a proactive step in better understanding the patient and baby’s safety. In addition to this, I think assessing her support system is extremely important as the old saying goes “it takes a village to raise a baby”. Since she is an adolescent, this pregnancy can take a toll on her mentally, physically, financially, and emotionally. Knowing that she has supportive people in her life to help her would ensure the safety of both mom and baby.
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