Case Study : Pediatric or Maternal Child Healthcare Assignment

Assignment Task

Maternal Child Case Study

Star is a 33-year-old indigenous woman who lives with her husband Rod on reserve at Seabird Island. Star teaches at Lalme’ Iwesawtexw.  Rod works for a construction company as a project manager.

Star is 26 weeks gestation and she and Rod are very excited about her pregnancy. You have asked them to come in to the clinic today to discuss the glucose tolerance test Star had done last week. Her GTT level was 14.1 mmol/L and her Hgb A1C was 8.7%

This is Star’s first pregnancy. She is 5’3” and 168lbs at this visit. She has gained 18lbs since the start of her pregnancy. Her vital signs are: B/P 130/88, P 70, R 18, O2 99%, Temp 36.8C. You also know that Star’s father developed type 2 diabetes 2 years ago. As you share the test results with Star, you notice that she is quiet and not making eye contact. After a quiet moment Star looks at you with tears in her eyes and asks if the diabetes is her fault and if it will hurt her baby.

1. How do you respond to Star?
2. What data do you need to gather?
3. Identify 3 priorities in caring for Star with appropriate interventions.
4. What community resources will you be referring/suggesting for Star?

Pediatric Case Study

You are the RN in a 4 room Primary Health Clinic in Surrey. Other than the medical office assistant (MOA) you are working alone.  Your shift begins at 1230 and you walk into the clinic just after 12 noon knowing that you have a schedule that is completely full of well baby visits for immunizations and baby weights.  As you walk past the desk you notice a teenager dressed with untied shoes, dirty old pants, and a tight t-shirt.  Her hair is uncombed and you can see a tattoo on her neck.  She is carrying a very large plastic bag that appears to be full of clothing.  You hear the MOA tell the teenager that there is no space for her.  As you slow down, the MOA also tells the teenager that no there is no bed and certainly no food at the baby clinic.  You watch as the teenager turns to leave.   As you change direction to talk to the teen the MOA sharply reminds you the clinic is full and people are waiting.

1. Based on this information, what is your assumption about this teenager and her ages?  Two sentence answer.
2. Which is your priority (clinic or teenager) and why? No more than four sentence answer
3. In two sentences, write your response to the MOA
4. What is an immediate intervention you could offer the teen (nothing personal, you can't give her money or food).
5. When you meet with this teenager what will be your 4 priorities?
6. What four assessments are critical and why (not findings, actual assessments that you need to do)
7. What four general resources would you try to use for this teenager and why?

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