Please see the attachment for the instructions

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

• ORAL HEALTH SERVICE EXPANSION (OHSE)
• SAMPLE IMPLEMENTATION PLAN

 PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

BARRIER #9: VARYING EDUCATION LEVELS AMONG NURSES

Nurses play an important role in transforming health care; therefore, effective nurse leadership is required. Rising medical costs, increased competition among medical institutions and high demand for quality medical services are particularly calling for the efficient management of medical institutions, subsequently increasing the demand for nurses with management and leadership skills. Within nursing contexts, leadership creates an environment that both influences nurses to improve the quality of nursing care and motivates and empowers them through a clear vision. Effective leadership from management inspires positive behaviors in staff, such as organizational citizenship behaviors, further job satisfaction and organizational commitment. So, education is necessary to continuously improve nursing leadership abilities. Moreover, nurses can effectively incorporate their leadership education into their nursing practices and enhance nursing organizations’ performance, while advancing the profession by providing leadership opportunities. The role of the nurse is changing with the transformation of healthcare, but unfortunately, the level of education typically remains the same, as evidenced by the small percentage of nurses who pursue higher levels of education. Baccalaureate education with its broader, more scientific base provides the sound foundation for the variety of nursing positions and for entry to advanced nursing education and practice. The barriers include a lack of specific education that is focused on clinical leadership and health team management, feeling devalued by the system, and a lack of a structural pathway of learning and development for the registered nurses. Although, all nurses cannot financially support themselves to achieve baccalaureate education requirements.

Nursing leaders’ perception of nursing leadership was extended to nurses, organizations and nursing professions. Competency, capability, innate personality and traits are required nursing abilities that are acquired through education. Nursing leaders view nursing leadership as a broad, multidimensional concept and are keenly aware of the importance of education in its improvement over the long term. 

Reference:

Kim, H. O., Lee, I., & Lee, B. S. (2022). Nursing leaders’ perceptions of the state of nursing leadership and the need for nursing leadership education reform: A qualitative content analysis from South Korea. Journal of nursing management, 30(7), 2216–2226. https://doi.org/10.1111/jonm.13596

 

Discussion:

Compare and contrast the growth and developmental patterns of two toddlers of different ages using Gordon’s functional health patterns. Describe and apply the components of Gordon’s functional health patterns as it applies to toddlers.   

Instructions: 

Post your discussion to the Moodle Discussion Forum.  Initial post must be made by Day #3.  Word limit 500 words.  Reply to at least two other student posts with a reflection of their response.  Please make sure to provide citations and references (in APA, 7th ed. format) for your work.  

Due: