The normal development of the infant

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CASE:   Jane is 18-years-old and a recent high school graduate who lives in a small town of about 2,700 people. She has a part-time job as a waitress in the town's only restaurant, and she had no health insurance. Most of the town's residents rely on a larger city nearby for shopping, recreation, and health care. Jane had dated Dave the past 2 years, but there was never any talk of marriage. Just before graduation she learned that she was pregnant, but this did not stop her from smoking and consuming "small amounts" of alcohol and drugs while hanging out with Dave. As she was completing her seventh month of pregnancy, Jane went into premature labor. An ambulance rushed her to the emergency room of the hospital in the nearby city, where she gave birth. The doctors determined that the baby was not only premature, it also appeared to have other "developmental abnomalities." When asked whether she had received any prenatal care, Jane replied, "No, I couldn't afford it. Besides, I didn't know where to go to get help". (6 points)

1. If Jane had received prenatal care, how could it have helped in the normal development of the infant? Explain what happens during prenatal visits.

2. What government or community program could have helped Joan obtain affordable prenatal care?

3. The cost of treating Joan's infant could run into hundreds of thousands of dollars, and there is no guarantee that the child will survive. Do you think that it would be more cost effective to ensure prenatal care to all pregnant women in the US or to continue under the system that only pregnant women with insurance get prenatal care? Which one would you advocate? Explain briefly.

Reference no: EM132214407

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