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A Difficult Pregnancy

A Nurse Practitioner Looks for Answers


Author(s)

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 Areas

Ethics, Social issues

Educational Level

Undergraduate upper division, Graduate, Clinical education

Format

PDF

Type / Methods

Discussion

Language

English

Subject Headings

Nursing  |   Medicine (General)  |  


Date Posted

01/03/01

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