Women Health – Week 5 Discussion 1st REPLY
Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.
Discussion
During the interview process, it is important to understand the patient’s history, current use of contraception use, desire to get pregnant, health issues, and relationship status. The history can reveal any chronic illnesses and familial medical issues. Current use of contraception, STI history and sexual activity can guide care of the patient. Knowing her goals in relation to her health are important when guiding her with health education (Hawkins, Roberto-Nicholas & Stanley-Haney, 2020).
This case study went into depth with multiple stages of the patient’s condition. WIth her final diagnosis, the clinical findings that would have been present are vaginal bleeding with clots possibly being seen, pelvic pain and cramping, the os could be opened with pelvic exam. With the use of ultrasound the fetus can be examined. You would find no fetal heart sound and no growth of the fetus (Hawkins, Roberto-Nicholas & Stanley-Haney, 2020).
The primary diagnosis would be inevitable abortion due the presence of dilated os. Secondary diagnosis would include; inclomplete abortion if all the fetal contents have not been expelled, complete abortion if all the contents have been expelled or septic abortion due to an infection in the cervix. With pregnancy the mothers immune system is lowered making them more susceptible to infection (Hawkins, Roberto-Nicholas & Stanley-Haney, 2020).
The management plan for this patient would include expectant management. This would include symptom management and watchful waiting. Educating the patient on what to look for in regards to excessive bleeding or infection and when to contact the office or emergency personnel (Hawkins, Roberto-Nicholas & Stanley-Haney, 2020).
Hawkins, J., Roberto-Nicholas,D. & Stanley-Haney, J. (2020). Guidelines for nurse practitioners in gynecologic settings (12th ed.). Springer Publishing. ISBN-13: 9780826173263
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- Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
- Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
- Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
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