NRSG370 Assessment : Case Study – Maternity

Case study :

Jennie Pickett, 38, gestational hypertension Jennie Pickett is a 38-year- old woman G1P0 who is in her first pregnancy and is attending clinic for her third antenatal care appointment at 26 weeks gestation. First Antenatal Visit: ? 12 weeks gestation ? Height 178 cm ? Weight 64kg ? Blood pressure 120/80 mmHg ? Uterine size was felt just above the symphysis pubis ? Fetal heart rate 120bpm ? Urinalysis was normal ? No other anomalies detected Third Antenatal Visit: ? 26 weeks gestation ? Weight is 66kgs ? BP 140/92mmHg ? Urinalysis = no proteinuria or glycosuria ? Uterus can be felt at the level of her umbilicus ? Fetal heart rate was 140bpm ? Mild swelling of the hands and feet To date this pregnancy has been uneventful. A Registered Midwife performed the midwifery skills of abdominal palpation for uterine size and fetal heart auscultation. Students will complete a case study which discusses the provision of ethical, legal, evidence-based, holistic person-centred care including the establishment of realistic and relevant goals through the theoretical examination of a particular nursing specialty case study using the Clinical Reasoning Cycle (Levett-Jones, 2013). For presentation instructions consult the ACU Study Guide: Skills for Success (2016). • Considering the person’s situation, collect, process and present related health information; • Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care; • Establish goals for priority of nursing care as related to the nursing problem/issues identified; • Discuss the nursing care of the person, link it to assessment data and history; • Evaluate your nursing care strategies to justify the nursing care provided; • Reflect on the person’s outcomes.