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

Question Answered step-by-step S.W. is a 16-year-old woman from a semi-remote First Nation… S.W. is a 16-year-old woman from a semi-remote First Nation community. She is 36weeks pregnant and attending a prenatal visit with her community midwife. This isher first pregnancy and she has attended all previous visits with her mother and/orFrank, the father of her baby. S.W. is very quiet and makes limited eye contactduring these visits. S.W.’s pregnancy has been fairly uneventful. Her weight gain hasbeen 23 pounds. Laboratory values and blood pressure have been within normallimits. A 20-week ultrasound found no abnormalities of fetal anatomy. At her last visitthe midwife told her they would be discussing place of birth today. S.W’s options areto deliver in one of two tertiary care centers in a large city 9 hours away, or at ahospital in a smaller city closer to home. S.W. arrives for her visit with her motherand 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 plan of care 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 Health Science Science Nursing NUR 223 Share QuestionEmailCopy link Comments (0)