Aries is a 17 year old, single,
Aries is a 17 year old, single, Native American female, who is G1P0 (1st pregnancy). She is 5’3″ tall and her prepregnant weight was 108 pounds. Her appearance and dress are appropriate, she wear heavy makeup that is covering acne. She lives with her mother and siblings in a small house near an Indian reservation. Her father left the family when she was a young child. Her mother is a single mother and is a housekeeper. Her mother has financial problems but receives extra bonuses from her employer to help. Aries and her siblings are embarrassed of her mother’s job and pity her employer gives her. Her brothers who are 20 and 21 cannot find jobs and get into trouble frequently. One of her sisters is studying to be a nurse and her other sister is in high school. Aries is the youngest and is a high school junior. Aries is brought to the clinic by her grandmother who lives near the family and spends a lot of time with them. This is Aries’ first prenatal visit. She was not using any contraception and did not intend on getting pregnant. When asked about her medical history, the grandmother answers and the answers are vague. Aries allows her grandmother to talk but does not make any eye contact with the nurse. Aries does answer the question related to alcohol and tobacco use; she admits to smoking 5-6 cigarettes a day and drinking a little with her friends on the weekends. Although the father of the baby has been telling everyone about the pregnancy, he has given no indication of taking any responsibility after the baby is born. Recently he has started to date another girl. Questions: What is a possible reason for the nurse having trouble getting the history from Aries and/or her grandmother? What is the significance of Aries bringing her grandmother to the visit? How can the nurse get a better estimate of how much Aries is drinking? List at least 5 red flags about her pregnancy/history. Aries’ grandmother instructs her to take herbs to help her blood become stronger, but the sister in nursing school wants her to take Iron. What is the most appropriate statement that the nurse should tell Aries? And Why? Aries is 20 weeks gestation. What are the major developmental milestones that have happened with the fetus so far? What are some implications of her starting prenatal care so late? Aries has stated she is going to quit school so that she can spend more time learning about parenthood, food, and avoiding disharmony. With her culture in mind- how would you respond to Aries’? Give 2 common mistakes that nurses make when trying to provide care to patients from cultures they are not familiar with.
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