1) Write down sample nursing diagnoses, interventions, and expected outcomes for the following client:
Elaina, 27 years old, visits a prenatal clinic to confirm a positive pregnancy test. Elaina tells the nurse that she is not married and has no support system. She also states that she is making minimum wage at a restaurant with no health insurance and cannot afford prenatal care. She intends to keep the baby and would rather not tell her partner because “they don’t have that kind of a relationship.” Elaina asks the nurse “If I take good care of myself, why do I need prenatal care?”
#2) Explain how the fetus is affected by tobacco use during pregnancy. Keeping in mind the 2020 National Health Goals, what are some things you can do as a nurse to promote these goals and carry your ideas out into the community.
#3) You are asked to perform an assessment of a pregnant woman and her family. Prior to the assessment, devise a list of interview questions to use to assess the woman’s readiness for parenthood and current health status as well as her goals for the pregnancy.
#4) For each of the following QSEN competencies write a list of nursing interventions for promoting fetal and maternal health related to each competency:
Patient centered care
Teamwork and collaboration
Evidence-based practice
Quality improvement
Safety
Informatics.
#5) List the four major hormones produced in early pregnancy. Describe what each one does.
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