Case Study: A 25-year-old presented to the labor and delivery unit with complaints of uterine cramping and lower back pain. The client denied any vaginal bleeding and had a history of preterm birth at 32 weeks (about 7 and a half months) gestation with her last pregnancy. The baby from that pregnancy is three years old has no developmental issues. The client’s gestational age is 30 weeks (about 7 months). She is O+, and all other lab values are normal. No evidence of sexually transmitted infections (STI’s).

(Group Beta Strep is missing from the labs and most often is obtained at 35 – 37 weeks (about 8 and a half months) gestation. Without this information, it is often determined to treat the patient anyway, to protect a premature baby from the risk.)

• What additional information should the nurse obtain from the client?
• What nursing intervention is most appropriate in this situation?
• What screening tests should be obtained to determine the risk for preterm labor?
• If the client is in preterm labor, what medications would the nurse expect to be ordered, and what are the priorities for the nurse to assess post-administration? (Include dose, side effects and expected outcomes of the medication).

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create a power point presentation of no more than 15 slides that reflects your understanding of the three macronutrients, carbohydrates, lipids, and proteins.be creative. each slide should include information about each macronutrient. definition of the macronutrients inclusive of its function and structure, where they are digested and absorbed. types and their purposes, special characteristics and function. clinical applications as they relate to health and diets 

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Learning Activity Content

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S.M.A.R.T. goal is defined by its five key aspects or elements. Without all aspects, you might be goal setting, but not effectively creating a plan for success. Let’s take a closer look at the five elements of S.M.A.R.T. goals.

Specific

Specific goals have a desired outcome that is clearly understood. This might be a sales number or a product rollout goal. No matter what it is, the goal should be clearly articulated so that everyone is on the same page with the objective. Define what will be accomplished and the actions to be taken to accomplish the goal. Goal must be clearly defined —who and what

Measurable

These are the numbers used with the goal. You need to have a quantifiable objective so that you can track progress. Define what data will be used to measure the goal and set a method for collection. The success toward meeting the goal can be measured. Outcome must demonstrate levels of change or improvement.

Achievable

Goals need to be realistic in order to maintain the enthusiasm to try to achieve them. Setting lofty goals is good, but you may want to break them down into smaller, bite-sized chunks. If the goal is not doable, you may need to first ramp up resources to give yourself a shot at success. Ramping up resources would likely be its own S.M.A.R.T. goal. Goals are reasonable and can be achieved.

Relevant

Goals should be aligned with the mission of the company or specific project at hand. Don’t set goals just as an exercise for something to do. One way to determine if the goal is relevant is to define the key benefit to the organization or to your personal goal. The goals are aligned with current tasks and projects and focus in one defined area

Time-Bound

Goals should have a deadline. A goal without a deadline doesn’t do much. How can you identify success or failure? This is why S.M.A.R.T. goals set a final date. This doesn’t mean that all the work is done, but it means that you can evaluate the success of the endeavor and set new goals. Goals have a clearly defined time-frame including a target or deadline date.

Using the information presented as a guide create a SMART goal to improve the indicators of your health problem at short or long term [this is the same health problem you will be completing the PowerPoint on]. include a paragraph to introduce your topic and place it in context for your reader. Do not forget to cite your sources.

SMART goals help improve achievement and success. A SMART goal clarifies exactly what is expected and the measures used to determine if the goal is achieved and successfully completed.

Examples:

Not a SMART goal:

·       Reach out to stakeholders.

Does not identify a measurement or time frame, nor identify why the improvement is needed or how it will be used.

SMART goal:

·      The Department will launch communications with stakeholders by conducting three focus groups specific to needs assessment and funding by the end of the first quarter.

Please ensure you follow the SMART format.

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