Buy a Nursing essay from nursingessays.us

Left your Nursing Assignment to the last minute? Let a qualified expert do your Nursing essay for you and deliver it before your deadline!

9.8
Buy Nursing essay Papers
Calculate your paper price
Pages (550 words)
Approximate price: -

The Pregnant Woman with Physical and Mental Challenges

Physical and Mental Challenges.For so many years, women with disabilities were discouraged from getting pregnant because their condition may complicate the pregnancy. However, with the advent of technology, women who are physically and mentally challenged are given more ease during pregnancy and childbirth. Also with the guidance of their healthcare providers, they are now able to plan pregnancies and childbirth and their special concerns are now addressed in any healthcare facility across the country.

The Pregnant Woman who is Physically or Mentally Challenged

A physically or mentally challenged woman who wants to get pregnant is advised to engage in careful planning of her pregnancy so everything would be tailored to exactly what she needs.
  • On the first prenatal visit, explore the nature of the woman’s disability to identify the alterations needed for a successful pregnancy.
  • A woman who is house bound during pregnancy must be compliant in taking a vitamin D supplement because she might not be getting adequate sun exposure.
  • Assess the woman’s ability to reach her emergency contacts for pregnancy-related emergencies.
  • Assess the woman’s ability to come for a prenatal visit or if she can drive alone.
  • Encourage a woman who uses a wheelchair to press with their hands against the armrests and lift their buttocks off the wheelchair seat for five seconds every hour to prevent pressure ulcers as the fetus is getting heavier.
  • Encourage the woman to increase fluid intake to prevent urinary tract infections and to void frequently even though mobility is an effort.
  • Physical examinations may need to be modified to accommodate the woman with disability.
  • Women who are cognitively challenged may not know how they became pregnant, so if she was abused sexually, give ample time to talk to her regarding a pelvic examination.
  • For a visually challenged woman, a trained guide dog may be brought during prenatal visits but since the guide dog’s main function is to offer directions, it still has protective instincts and might be threatened whenever people may pet it.
  • Use demonstration aids when teaching a visually impaired woman, to allow her to feel or touch the aids.
  • A cognitively challenged woman may need instructions limited to those few items related to safety.
  • A visually challenged woman could not read pregnancy pamphlets, so either her support person would read the pamphlet to her or she can have a tape recorder with information recorded about pregnancy or any topic you want her to remember.
  • Nutrition counseling needs to center on foods that can be prepared without cooking.
  • For activity and exercise, if mobility Is an issue, let the woman understand that walking around her home is just like walking around the block as exercise.
  • Encourage the woman to attend childbirth preparation classes if possible, especially those who are not working outside their home so they can practice breathing exercises.
  • For a hearing impaired woman, show her printed words when teaching so she can see what your lip motions represents.
  • If the woman has an interpreter for sign language, be certain that you are facing the woman while talking and not the interpreter.
  • For a woman with spinal cord injury, instruct her to palpate her abdomen for uterine contractions so she can be aware that she is in labor.
  • Cesarean and forceps birth may be necessary for women with muscle spasticity or spinal cord injury.
  • A woman who cannot assume a lithotomy position could be positioned in a dorsal recumbent or Sims’ position during vaginal delivery.

The Pregnant Woman who is Substance Dependent

One of the major problems among pregnant women today is the use of illegal drugs. A person is substance dependent if she has withdrawal symptoms after discontinuing the use of illegal drugs. Assessment of the pregnant woman during the prenatal visit is necessary for the possibility of substance abuse.
  • A woman with substance abuse problem may come in late for her prenatal care because she is afraid that her drug use would be discovered and reported to the authorities.
  • She may also have difficulty in following instructions for proper nutrition as she may lack sufficient money to buy nutritious foods and drugs, as well as supplemental vitamins.
  • Illicit drugs can cross the placenta, so the fetus of a substance dependent woman has a drug concentration of about 50% that of the mother.
  • Drug abuse accounts for preterm birth and fetal abnormalities, and also the risk for hepatitis and HIV increases if the woman uses injected drugs.
  • Cocaine is the most frequently abused drug during pregnancy and it causes extreme vasoconstriction that can compromise placental circulation leading to premature separation of the placenta and ultimately, preterm labor or fetal death.
  • Infants of cocaine-dependent women may suffer from immediate effects of intracranial hemorrhage and withdrawal syndrome.
  • Newborns born to women who use amphetamines show jitteriness, poor feeding at birth, and growth restriction.
  • A woman who uses marijuana or hashish would not be able to breastfeed because of reduced milk production and the risk to the newborn from excretion of the drug in the milk.
  • Narcotic agonists such as heroin would have effects on the pregnant woman such as fetal opiate dependence and severe withdrawal symptoms in the infant after birth.
  • Women who are opiate dependent can enroll in a methadone maintenance program during pregnancy, but the infant would still not escape the withdrawal symptoms at birth, and methadone withdrawal has more severe reactions than heroin.
  • However, the fetus would still be ensured of better nutrition, better prenatal care and less exposure to pathogens since methadone is given to her legally during the program.
  • The woman may also be treated with buprenorphine if methadone programs are not available.

Practice Quiz: The Pregnant Woman with Physical and Mental Challenges


Quiz time!

Exam Mode

In Exam Mode: All questions are shown in random and the results, answers, and rationales (if any) will only be given after you’ve finished the quiz.

Practice Quiz: The Pregnant Woman with Physical and Mental Challenges

Start
Congratulations - you have completed Practice Quiz: The Pregnant Woman with Physical and Mental Challenges. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%%
Your answers are highlighted below.

Practice Mode

Practice Mode: This is an interactive version of the Text Mode. All questions are given on a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. No time limit for this exam.

Practice Quiz: The Pregnant Woman with Physical and Mental Challenges

Start
Congratulations - you have completed Practice Quiz: The Pregnant Woman with Physical and Mental Challenges. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%%
Your answers are highlighted below.

Text Mode

In Text Mode: All questions and answers are given for reading and answering at your own pace. You can also copy this exam and make a printout.

Questions


1. A pregnant woman tells you that she takes amphetamines almost daily. A fetus of a drug-addicted mother receives approximately what percentage of the mother’s drug concentration?

A. 20% B. 50% C. 70% D. 100%

2. Your client has a T2 spinal cord injury and is 6 months pregnant. Which of the following information should be included in pregnancy counseling for her? A. She needs to feel her abdomen often during the last months to detect tightening of labor. B. She should adjust the footrests on her wheelchair so that she maintains her legs with a sharp bend at the knee to relieve the pressure on her abdomen. C. Pregnancy will decrease her risk for urinary tract infections since serum corticosteroid levels are increased during pregnancy. D. The enlarged uterus will assist her in urinating, so she will not need to use a catheter to be sure that she empties her bladder. 3. Joan is in her fourth month of pregnancy and confides to the nurse that she is addicted to heroin and uses prostitution to afford her habit. Which response by the nurse would be most appropriate? A. Plan to include tests for sexually transmitted diseases in Joan’s future prenatal visits. B. Record on Joan’s chart the need to monitor her baby for hyperbilirubinemia. C. Tell Joan her baby is in no danger because fetal exposure to narcotics actually strengthens the liver and the lungs. D. Prepare Joan for the high possibility that her baby will be born dead because she has taken heroin. 4. Ana is a pregnant cocaine user. Which of the following, if undertaken by Ana, would indicate that a teaching plan for her had been effective? A. Ana stated she will use crack instead of cocaine while she is pregnant. B. Ana voiced plans to seek assistance to help her stop using cocaine. C. Ana plans to restrict her cocaine use to smoking a pipe during the last months of her pregnancy. D. Ana decreases cocaine use once she has completed her pregnancy. 5. Which information would be most important to provide to a pregnant woman who is drug dependent? A. Marijuana can be used to decrease withdrawal symptoms without fetal harm. B. Regular cocaine would not cross the placental barrier but crack cocaine will. C. Pregnancy will temporarily take away her desire for drugs and alcohol. D. Her fetus might be born drug dependent and have withdrawal symptoms. Answers and Rationale
1. Answer: B. 50%
  • B: 50% of the drug concentration of the mother is being transferred to the fetus.
2. Answer: A. She needs to feel her abdomen often during the last months to detect tightening of labor.
  • A: Women with spinal cord injury would not be able to feel uterine contractions.
  • B: Women should decrease the sharp bend at their knees to promote venous return and prevent varicosities and thrombi formation.
  • C: To decrease risk for urinary tract infections, the woman should increase her fluid intake and void frequently.
  • D: Women with a spinal cord injury would need to use a catheter to make sure that they empty their bladder.
3. Answer: A. Plan to include tests for sexually transmitted diseases in Joan’s future prenatal visits.
  • A: Pregnancy complications related to heroin abuse include sexually transmitted diseases due to shared needles.
  • B: The fetal liver is forced to mature faster than normal so the newborn is better at coping with bilirubin.
  • C: The fetus is still in danger because of the many complications that heroin abuse could bring.
  • D: Fetal death is probable but not highly possible for a fetus with a heroin-dependent mother.
4. Answer: B. Ana voiced plans to seek assistance to help her stop using cocaine.
  • B: Stopping cocaine use through programs such as the methadone maintenance program shows that the teaching plan has been effective.
  • A: Alkaloidal cocaine or crack produces an even more rapid and intense “high” when inhaled.
  • C: Cocaine use should be stopped entirely for the whole pregnancy and even afterward.
  • D: Cocaine use should be continuously stopped even though the pregnancy is complete especially for breastfeeding mothers.
5. Answer: D. Her fetus might be born drug dependent and have withdrawal symptoms.
  • D: The fetus might be born drug dependent and have withdrawal symptoms of tremulousness, irritability, and muscle rigidity.
  • A: Marijuana cannot decrease withdrawal symptoms and could cause fetal harm.
  • B: Crack cocaine could not cross the placental barrier as well as regular cocaine.
  • C: The desire for drugs and alcohol would stay in a pregnant woman if proper counseling is not initiated.
Women who have challenges during pregnancy need to be guided by their healthcare providers throughout their journey. They need all the facts that they can get so they can slowly modify their lifestyle to fit the present situation. Safety and education should be a healthcare provider’s priority especially for pregnant women with special needs.

Questions?

Ask our team

Want to contact us directly? No problem. We are always here for you.

Frequently Asked Buy a Nursing essay Questions

See all
Is your service confidential?

When you place an order with our company, we ask you to provide us with such personal information as your name, phone number, and email address. We need this data to keep you updated on the important things related to your order or account, and never share it with any third parties. We also don’t use your contact details for spamming you.

Please note that our support team may contact you using only the phone number(s) stated on our website, such +1 (248) 599-2414 and/+44 (151) 528-2636. In order to secure our mutual cooperation, please do not communicate with those who introduce themselves as essaypapers support staff and reach you from different phone numbers.

Also, remember that we never ask you to provide your credit card information via phone conversations. You should enter this information only on PayPal or Gate2Shop billing forms when making an online payment on our website. The essaypapers support administrator will send a confirmation letter to your personal order page when your payment is received.

We also use a secure encrypted connection and do not store your private data if we do not need it anymore. For more details about how we ensure your confidentiality, check our Privacy Policy, which completely complies with the GDPR.

We offer original model papers that can be used legally in a number of ways if properly referenced:

  • As a source of arguments or ideas for your own research
  • As a source of additional understanding of the subject
  • Direct citing

Nonetheless, check your college’s/university’s policies, including their definition of plagiarism and paraphrasing before using our services. Make conscious decisions in regards to your education.

How do I order a paper from essaypapers?

We take care not only of your academic success, but also of your experience with us. That’s why we have made the process of placing your order as easy and fast as possible—usually, it takes no more than 2-3 minutes.

Let’s have a closer look at the simple steps you need to go through for submitting your order:

Fill in the order form.

Be sure to include specific instructions regarding your paper and to upload any of the required materials. If you have any questions while specifying your paper’s information, just click on the info sign at the end of every field name and you will see a detailed tip on what exact information is required.

Proceed with the payment.

After you are through with the order form, you will need to make a payment via a preferable system. Right after that, you will be automatically provided with your personal order page where you can track your order’s progress, provide additional requirements, and send messages to your writer or support manager.

A personal writer is assigned to your order.

Our qualified staff will choose the most suitable writer whose skills and experience match your field of study and paper’s details. In case the writer must have any particular software or literature in order to get the Nursing Assignment done, please do not forget to mention this in your initial instructions.

Your paper is completed and delivered to your personal order page.

When the writer finishes your paper, it is delivered to your personal order page as a PDF document, available for preview only. You will be able to download an editable MS Word version of the order right after you click the “Approve” button in the “Files” tab of your personal order page. If any changes are to be applied to the paper, you are always welcome to request a free revision with a new deadline for the writer (be sure to check more information about this in our revision policy).

You can check how easy the process is by going to the order page and submitting your paper details right now.

Is there a money-back guarantee? If yes, how can I receive a refund?

You can get more details about possible types and terms of refunds on our official money-back guarantee page.

How will I receive a completed paper?

You will get the first version of your paper in a non-editable PDF format within the deadline. You are welcome to check it and inform us if any changes are needed. If everything is okay, and no amendments are necessary, you can approve the order and download the .doc file. If there are any issues you want to change, you can apply for a free revision and the writer will amend the paper according to your instructions.

If there happen to be any problems with downloading your paper, please contact our support team.

What if I’m not satisfied with my order?

If your paper needs some changes, you can apply for a free revision that is available for 7 days after your paper is approved. To use this option, you have a “Revision” button on your personal page.

After the 7-day period, you cannot apply for a free revision, though you still can use a paid revision option. The price of such a revision will differ depending on the number of amendments needed to be done. Please contact our support team to find out how we can help you with the amendments to your paper.

If you think our writer didn’t manage to follow your instructions, and as a result, your paper is of poor quality, please contact us and we will do our best to solve the problem.

If the revisions didn’t give the desired result, you can apply for a refund. Our dispute department will process your inquiry to find out what kind of refund we can give you. To find out more, please visit our money-back guarantee page.

How do I request a refund?

You can’t apply for a refund on certain stages of your order, like when the order is not finished by the writer yet.

When the paper is delivered, the “Refund” button on your personal order page becomes clickable.

On the relevant tab of your personal order page, you will also be able to choose the type of refund you’re demanding and the reason why you applying for it. As soon as you do that, our dispute department will start working on your inquiry. All kinds of refunds concerning the quality or the lateness of your paper should be requested within 14 days from the time the paper was delivered, as in 14 days your paper, will be automatically approved.

Your inquiry should be submitted by clicking the “Refund” button on your personal order page only.

Order your essay today and save 15% with the discount code NURSINGHELP