Catherine Owens 18883827

 

Identifying how you will apply ethical theories to your practice as a health care professional.

Write a one page paper (minimum 600 words excluding title page and reference page)

The paper must be in APA summary format thus no abstract required. Please include at least two references for your work.

 Books Required Health Care Ethics: Critical Issues for the 21st Century 3rd Edition Author: Morrison, E.E. & Furlong, B. ISBN: 978-1449665357 Publisher: Jones & Bartlett Learning, (2014) 

 
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Catherine Owens 19287567

Discuss about Tuberculosis from the scholarly article.

 
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Catherine Owens 19287583

Part 1: 25 y/o presents to Labor and Delivery with complaints of uterine cramping and lower back pain. Denies any vaginal bleeding at this time. Has related history of a preterm birth at 32 weeks gestation with her last pregnancy. The baby is 3 years old now and has no developmental issues.
 Her current gestational age is 30 weeks.
 She is O+ and all other lab values are normal. No noted STI’s.

1. Group Beta Strep is missing from the labs – most often is obtained at 35 – 37 weeks gestation.
 2. Without this information it is often determined to treat the patient anyway – presumptively to protect a premature baby from the risk.
 3. What other information would you like to ask her?
 4. What nursing intervention will you provide?
 5. What screening tests are often obtained to help determine her risk for preterm labor.
 6. And if it is determined she is in preterm labor what medications may you want to use with a doctors order?
 7. Please also give dose, side effects and possible result of the medication.

 
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Catherine Owens 19295903

  

Mary is not progressing in labor appropriately, and the decision has been made to move toward a cesarean section. She understands, agrees, and signs the consent for surgery. You will again accept this patient in the recovery – or initial postpartum period.

Recognize that you will complete BUBBLEHE assessment. In addition, the abdominal assessment will also include assessment of the incision. Note the type of dressing used to cover the incision. Is it approximated? Is there any bleeding? Does she have bowel sounds? Is the abdomen distended? Is it soft? Do you assess the fundus and where is it located? It should be firm. Note pain assessment.

 
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Catherine Owens 19295909

 

Postpartum:

Susan P. had a SVD (spontaneous vaginal delivery) today approximately 2 hours ago. The labor and delivery nurse is calling to give you report. She is new and not sure what you want to know from her.

What questions do you need to ask to provide comprehensive care to this patient once she is transferred into your care?

 
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Catherine Owens 19297155

Discuss about ISBARR

 
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Catherine Owens 19299955

Discuss about Anticoagulants

 
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Catherine Owens 19300429

Baby Leah had a very traumatic vaginal birth. After a vacuum extraction for fetal heart rate tracing changes and a resultant shoulder dystocia, Leah has a mild Erb’s palsy, some facial and truncal bruising. Pediatrician has ordered physical therapy for the palsy and the doctor expects routine care to be provided to her. In addition, do not forget the education you must give to the new parents regarding this injury.  Due to the bruising there is an increase in bilirubin levels and some behavioral changes occur with Leah. Please describe what is different and what will you discuss with the family to ensure safety?  The bilirubin level requires phototherapy. What precautions must you take?  What is essential to manage and treat the elevated bilirubin in addition to phototherapy?

 
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Catherine Owens 19302869

 Toddlers have some very unique behavioral characteristics as they move from infancy to childhood. Identify these behavioral changes. Include the challenges that parents may face with these characteristics including identifying temperament, nutritional barriers, hygiene, activity, and sleep. 

 
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Catherine Owens 19302873

 

Mary’s 1st baby was delivered via c/section due to the baby being in the breech position. She is requesting a VBAC (vaginal birth after c/section) for this her second baby. By ultrasound this baby is in the vertex position. In reviewing the postoperative report from her first surgery – it is noted that she had a low transverse uterine incision.

What are your thoughts on having a vaginal birth with this second baby?

What education can you provide to her?

What is the risk to her and does this change your thoughts and advise?

 
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