Assessment of a Pregnant Client Factors the Nurse Should Consider for the Client Safety

Ensuring the safety of the client is paramount. The nurse should assess the current situation for any signs of ongoing abuse and take appropriate measures to protect Elizabeth and her unborn child. This may include providing information on support services, creating a safety plan, and reporting abuse if necessary (Silbert-Flagg, 2022). Our assignment help will hone your writing prowess for papers that will awe your professors.

Trauma-Informed Care

Recognizing the impact of past trauma is crucial. The nurse should approach Elizabeth with empathy, sensitivity, and respect. Building trust and establishing a therapeutic relationship help create a safe environment for open communication and disclosure of sensitive information (Linde et al., 2020).

Substance Use

The nurse should assess the extent of Elizabeth’s past cocaine use and inquire about current drug use. Substance abuse during pregnancy can adversely affect both the mother and the fetus (Knott, 2022). The nurse should provide education about the potential risks and encourage cessation of drug use. Referral to a substance abuse counselor or support group may be beneficial.

Sexually Transmitted Diseases (STDs)

The nurse should inquire about the type and treatment of STDs Elizabeth has had in the past. Proper screening and treatment for STDs are crucial during pregnancy to prevent complications such as preterm labor, low birth weight, and transmission to the newborn (Knott, 2022). The nurse should ensure that Elizabeth receives appropriate testing and treatment.

Depression

The nurse should assess the severity of Elizabeth’s depression and evaluate her current coping strategies. Depression during pregnancy can increase the risk of preterm birth, low birth weight, and developmental issues. Collaborating with a mental health professional is essential to develop an appropriate treatment plan, including therapy, medication, or a combination.

Multidisciplinary Approach

Given the complexity of Elizabeth’s history, a collaborative approach involving healthcare providers, social workers, mental health professionals, and support services is crucial. Coordinated care ensures comprehensive assessment, intervention, and follow-up for Elizabeth’s health and well-being.

Documentations as a Professional Nurse for Self-Awareness

Recognize and Challenge Biases

Our cultural background, upbringing, and personal experiences influence our inherent biases. Reflecting on these biases and actively challenging negative stereotypes or prejudices is important. This includes examining our attitudes toward clients who have experienced domestic abuse, drug use, STDs, or mental health issues (Knott, 2022).

Practice Empathy and Non-Judgment

It is essential to approach each client with empathy, withholding judgment and preconceived notions. By actively listening to their experiences and perspectives, nurses can better understand clients’ needs and provide individualized care that respects their autonomy and dignity (Linde et al., 2020).

Seek Diverse Perspectives

Engaging in open dialogue with colleagues, participating in multicultural training programs, and seeking mentorship from individuals with diverse backgrounds can broaden our understanding of social issues and promote cultural sensitivity (Knott, 2022).

Reflect on Personal Limitations

It is important to acknowledge that we may not have firsthand experiences or a deep understanding of certain social backgrounds. When faced with unfamiliar situations or challenges, seeking guidance from colleagues, consulting interdisciplinary team members, and accessing evidence-based resources can enhance our ability to provide comprehensive care (Silbert-Flagg, 2022).

Conditions Causing Concern

History Of Cesarean Section

Mrs. Jones had a previous Cesarean section due to non-reassuring fetal heart tones. This increases the risk of uterine rupture in subsequent pregnancies, especially if she attempts a vaginal birth after a Cesarean (Silbert-Flagg, 2022). The nurse should monitor Mrs. Jones during labor for signs of uterine ruptures, such as abnormal fetal heart rate patterns or sudden abdominal pain.

Chronic Hypertension

Mrs. Jones has been diagnosed with chronic hypertension for five years. Hypertension during pregnancy increases the risk of preeclampsia, gestational hypertension, fetal growth restriction, placental abruption, and preterm birth (Chandrasekaran et al.