t is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (6th Ed.).

Classroom Participation

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.

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 t is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (6th Ed.). 

Please read the case scenario listed below. In your initial post, address the questions posed at the end of the scenario. In your response post, please address information you learned about available resources in your clinic area and how you would access them. When reading your peer’s posts, what similarities and differences are noted compared to your clinical or community standards of care?  

Detail your approach to care and management for the following case scenario:

A 21-year old woman presents for prenatal visit, her 1st even though she is well into her third trimester and her EDC is predicted to be within a month or so.  He boyfriend, the father of the child, has not been supportive to date of the pregnancy and is also not on good terms with her own parents.  At first, she denies alcohol or drug use but after a while, she opens up and talks about an ongoing opioid addiction.  Most of the time, she takes Percocet bought on the street but due to cost, she has recently begun using heroin.  It becomes clear that she will not be “clean” prior to her delivery and that her child will be born also affected by maternal opiate use.Since she has almost no external support, you know that after she delivers, she will be the primary caregiver of the infant and also hopefully working a detox program.

• What is the accepted name of the condition with which the child will be born? What are the peri-natal risks to the infant? What are the post-natal risks to the infant? What are the post-natal risks to the mother?
• Is there any evidence on the long-term risk to the child? 
• In your response post to a peer:  Please share information on the resources available in your clinical practice to address these concerns.

Estimated time to complete: 3 hours

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Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.

Discussion Prompt [Due Wednesday]

Select ONE of the questions listed below and create a substantive initial post. Please post the question number you chose in the title of your post. (i.e. Question 2 Health Policy) 

1. In the AANP (2012) Health policy brief: Nurse practitioners and primary care: “advocates say changes in federal and state laws are needed to remove barriers to the provision of primary care by nurse practitioners. By contrast, some physician groups are opposed” (p. 3). What are the professional implications of this statement? What are the practice requirements in your state? Why is it important for advanced practice nurses to remain aware of and engage in health policy?
2.  How does health promotion integrate within the Affordable Care Act? What opportunities and challenges do you anticipate related to this integration? 

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It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (6th Ed.).

Classroom Participation

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.

Discussion Prompt [Due Wednesday]

Select ONE of the questions listed below and provide a substantive posting by Wednesday. Please include the question number you selected in the title of your post (e.g. Question 1 Painful Menstruation). Respond to a classmate who initially posted to the opposite question. 

1. What clinical information would you obtain from an adolescent or adult female presenting with complaint of painful menstruation? What is your assessment and associated ICD-10 and V code(s) for this condition?  What are your differential diagnoses? What pharmacologic and non-pharmacologic therapies would you recommend?  What follow-up (RTC) timeframe, if any, would you recommend? 
2. Describe the components of the comprehensive, clinically relevant, sexual health, gynecological, and obstetrical history. Identify two health promotion/disease prevention recommendations and anticipatory guidance for the following populations: adolescents, childbearing, perimenopausal, menopausal, and geriatric women.

Estimated time to complete: 3 hours

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