A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l.   Questions. Construct a nursing care plan addressing 3 of patient’s problems.( actual and potential=3)

Harmony, a 33 year- old G1 P0 comes into see the nurse. Harmony is 29 weeks pregnant and she had only one previous prenatal visit at 18 weeks.  She has declined vaccines and most blood work, so her rubella status, blood type, HIV status are unknown   Harmony has failed to keep previous appointments which were scheduled at 22 weeks and 26 weeks. Harmony states that she has not been taking iron preparations nor her folic acid supplement as prescribed. She lives with her boyfriend outside of town on 2 acres and they raise chickens. Harmony shared that she treated her morning sickness with herbs from her garden.  What education would you offer the client?

CASE STUDY A mother expecting her first child miscarried at home on June 22, 2010. The pregnancy was six months along. An ambulance was called at 4:57 a.m. The EMTs helped the mother to the stretcher and then went inside to retrieve the fetus from the bathroom floor. The baby was seen moving its head. The EMTs requested ALS to the scene. The baby was placed inside a small container. The ALS personnel visually assessed the fetus and stated the fetus was "non-viable". There was never a fetal heart check in the field. Mother and fetus were transported to the hospital arriving at 5:16 a.m. At the hospital, a nurse noticed that the fetus was warm and had a heartbeat. The baby was raced to the special care nursery and placed on a warmer. The staff then proceeded to resuscitate the baby. The baby was dusky and noted to have a heart rate of 30 with respirations of 6-8 at 5:40 a.m., and cardiopulmonary resuscitation was initiated. The oxygen saturation was 2-10%. The baby was intubated at 5:55…

Topic. To promote exclusive breastfeeding outcomes in pregnant mothers Explain the nursing issue significance in promoting exclusive breastfeeding outcomes in pregnant mothers with three statements

14- need help with following. please be specifiy about answer

Jessica Question: why is this child susceptible to measles and  how will you do a developmentally appropriate assessment of Jessica? Case study: Identification: Jessica is an 11 year old female who has been brought into Ed by her father. Situation: Jessica has a five day history of being unwell. She states that she has had a runny nose, watery eyes, a cough and has been hot. In the last 24 hours she has developed a rash. The rash started with flat and spots starting on her face and making their way down her body. At home her temperature was 39.2 degrees Celsius. Jessica is complaining of a bad headache. Background: Jessica is normally healthy and active. Assessment: Jessica is lying on the bed with her eyes closed. She has a red spotty rash all over the body. Temperature 39.5 degrees Celsius, heart rate 120, respiratory rate 22, spo 2 98% RA. Recommendations: Jessica has been diagnosed with missiles. She has been prescribed paracetamol and ibuprofen PO. She has been admitted into a…

42- need help with following. please be specifiy about answer