Case Study Mrs Xa, 35 years old

Case Study Mrs Xa, 35 years old comes to the obstetric clinic because she has missed two menstrual periods and thinks she might be pregnant. She states she is nauseated, especially in the morning and is feeling fatigued. She completed an at home pregnancy test and the result was positive. This is Mrs. Xa’s 4thpregnancy with 2 uncomplicated full-term deliveries at 38 and 39 weeks (6 and 4 years ago respectively) and 1 miscarriage at 14 weeks. She also states that the first day of her menstrual period (LMP) was February 7th, 2020. Mrs. Xa is Mexican and has very strong ties to extended family members. She comes to the clinic with mother and 2 of her female cousins. As the intake nurse in the clinic, you are responsible for completing an initial assessment and gathering her health history before she sees the physician. ANSWER THE FOLLOWING QUESTIONS – Short and straight to the point please. 1. What two tests should be done to confirm the pregnancy? 2. What should her urine be tested for? Provide rationale. 3. What are 2 tests (other than urine tests) or assessment that are completed on first prenatal visit? Please number your response. 4. When is Mrs.Xa’s expected date of delivery (EDD)? 5. What is Mrs. Xa’s GTPAL’s? 6. When completing intake interview, identify 2 areas you will address with Mrs. Xa’s during this initial visit and provide your rationale. 7. Given Mrs. Xa’s Mexican background, what are 2 nursing actions that could support culturally appropriate care for her? 8. Mrs. Xa progresses with a healthy pregnancy. She is admitted to the hospital at 39 weeks for a vaginal delivery, stating her contractions are very intense. What is the difference between True Labour and False labour? 9. Mrs. Xa delivers a healthy baby trough vaginal delivery. The baby was placed on her chest immediately after delivery and cutting of cord. What are 3 benefits of this skin-to-skin contact? Please number your response 10. Six (6) hours in post-partum. On assessment, a large blood clot was noticed on her peri-pad and bed sheet are soaked with bright red lochia. Describe 5 important nursing actions and provide a rationale for each

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