Being constantly connected to technology affects one’s mental health. Studies

PRENATAL CASE STUDIES Client Profile Esperanza is a 23-year-old, G2P1001, MHF at 36 wga. She had a previous cesarean section with an epidural in Mexico six years ago for a breech presentation at 38 weeks gestational age. The baby weighed six pounds. She is five feet two inches tall, and her PPW was 100 pounds. She would like a vaginal birth after cesarean section (VBAC) with this pregnancy, however she saw six doctors before she found one who would even consider doing a VBAC. Case Study Esperanza seems anxious at today’s prenatal visit. She tells the nurse that the baby feels like his head is up under her ribs and she fears another cesarean section for breech. The following data is obtained at this visit: Wt 125 lb FHT 140s URQ Fundal height (FH) 35 cm Fetal movement + (FM) Urine chemstrip testing: all negative No HA, vision changes No CVAT No edema Questions and Suggested Answers 1. Why was it so difficult for Esperanza to find an obstetrician who would consider doing a VBAC? Discuss the ethical dilemmas that exist when the desires and needs of the client come in conflict with those of the prac-titioner. 2. What are the routine labs for this visit and why are they done at this time?

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