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A Difficult Pregnancy

A Nurse Practitioner Looks for Answers



Author:

Karol P. Rejman
School of Nursing
University at Buffalo
rejman@buffalo.edu

Abstract:

This case study, about a developmentally disabled, 30-weeks-pregnant 19-year-old, presents some of the patient management issues that health care workers face. The case is used in a graduate level seminar for family nurse practitioner students going through their clinical experience. It would also be appropriate for medical students and, with a few minor modifications, could be used for undergraduate level nursing students.

Objectives:
  • Discuss patient management issues in pregnancy: diagnosis, treatment, and patient education—especially the alternatives with rationales.
  • Explore the psychosocial issues of the case.
  • Discuss the issues of managing a patient with developmental disabilities.
  • Discuss the issues of managing a patient with a culture different from your own.
  • Discuss issues related to working in an office where you are a minority.
Keywords: Pregnancy; prenatal testing; prenatal care; patient management; urinary tract infection; ketonuria; Rh negative blood type; developmental disability
Topical Area: Ethics, Social issues
Educational Level: Undergraduate upper division, Graduate, Clinical education
Formats: PDF
Type/Method: Discussion
Language: English
Subject Headings: Nursing   Medicine (General)  
Date Posted: 01/03/01
Date Modified: N/A
Copyright: Copyright held by the National Center for Case Study Teaching in Science, University at Buffalo, State University of New York. Please see our usage guidelines, which outline our policy concerning permissible reproduction of this work.

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