Semi-remote First Nation community

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Reference no: EM133916188

Question

S.W. is a 16-year-old woman from a semi-remote First Nation community. She is 36 weeks pregnant and attending a prenatal visit with her community midwife. This is her first pregnancy and she has attended all previous visits with her mother and/or Frank, the father of her baby. S.W. is very quiet and makes limited eye contact during these visits. S.W.'s pregnancy has been fairly uneventful. Her weight gain has been 23 pounds. Laboratory values and blood pressure have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. At her last visit the midwife told her they would be discussing place of birth today. S.W's options are to deliver in one of two tertiary care centers in a large city 9 hours away, or at a hospital in a smaller city closer to home. S.W. arrives for her visit with her mother and her midwife notices that they seem to be more serious than usual today.

1. Patient's personal, family and social history, pathophysiology (if applicable), and assessment of the patient

2. The present care plan and future recommendations for improvement

3. Nursing interventions with rationale

4. One primary and one secondary nursing diagnosis

5. Conclusion to include a nursing implication for practice, education, and/or research.

Reference no: EM133916188

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