Reference no: EM133445990
Pregnancy Case Study
Client Profile
Jean Marie Bowberry is a 36-year-old married female seeing the doctor to confirm a positive home pregnancy test. She arrives in the clinic with her husband, Tom, a correctional officer. Jean Marie works full time as an accountant in Toronto. She had an abortion 10 years ago and another miscarriage two years ago. She complains of tender breasts and intermittent nausea. Her last menstrual period was November 16th 2019.
Case Study
In assessing Jean's nutrition, the nurse finds that she is having 1-2 glasses of wine each night with dinner. Also, she states, "Milk makes me sick, I cannot stand the sight or smell of it." Tom tells the nurse that an Alpha - fetoprotein test was done; they were told that it was abnormal. Jean Marie is scheduled for an amniocentesis. When asked by the nurse if she has questions about the test, Jean Marie says, "I'm afraid the baby will be stuck with the needle and how will I stop the fluid from leaking out?"
As Jean Marie is leaving the office to make her next appointment she says, "You mean I do not need to see anyone for a whole month? What if something goes wrong, how will I know?"
Questions
1. What methods are available to confirm pregnancy and calculate her gestational age of pregnancy?
2. If it was determined she was 8 weeks pregnant, how would you access the fetal heart tones (FHT)?
3. Describe some of the physiological and anatomical changes in her pregnancy?
4. What is Jean Marie's gravida, parity, G/TPAL, and due date?
5. Should Jean Marie modify her diet to support her pregnancy? If so, how?
6. What are the implications of the alpha- fetoprotein (AFP) test and when is the alpha- fetoprotein (AFP) test normally done?
7. What specific information should the nurse give Jean Marie and Tom about indications of the amniocentesis test and the procedure itself?
8. How would you answer Ms Marie's concern about the needle stuck etc.?
8a. What other fetal assessment tests may be done to assess fetal development? What are their indications and contraindications and or complications?
There are some tests to assess fetal development include:
9. How should the nurse respond to Jean Marie's question about her next appointment, and what specific things should he or she tell Jean Marie at this first visit?
The recommended frequency of antepartum visits is as follows:
10. As the nurse based on what you know so far, what health teaching would you provide to Marie in relation to her pregnancy and presentation?
11. What are terminologies have you learned so far?