HS1207: Maisie, aged 41, is at the polyclinic for a prenatal check-up today. She is currently 12 weeks pregnant and has a history of 1 normal vaginal: Health Promotion Across the Lifespan Case Study, NYP

Maisie, aged 41, is at the polyclinic for a prenatal check-up today.

She is currently 12 weeks pregnant and has a history of 1 normal vaginal delivery of a boy at 36 weeks of gestation in 2016 and 2 spontaneous abortions at 13 weeks of gestation in 2018 and 8 weeks of gestation in 2020.

You are the staff nurse attending to Maisie.
Gravida: 4, Para: 1 (G4P1)
Expected Date of Delivery (EDD): 9th January 2023
Height: 160 cm
Weight before current pregnancy: 75kg
Current weight: 80kg

Medical/surgical history: Femoral herniorrhaphy in 2021
Family history: Maisie’s father and mother have Type 2 Diabetes Mellitus
Blood Pressure: 130 / 78 mmHg
Pain score: 2 / 10 for lower backache
Urine dipstick test results: to collect

Maisie shares with you that she worries about:

the growing fetus and pregnancy complications.
antenatal screening and cost for pregnancy.
the arrival of her newborn due to the lack of family support.

Your assessment/conversation with Maisie shows:

she is inactive and rests on the sofa most of the time.
she has no energy to cook for the family and eats out most of the time.
she drinks 2 cans of energy drinks like Red Bull, 2 cups of bubble milk tea with 100% sugar, and 2 cups of coffee a day to stay awake.
she has craving for sugary treats and desserts like cupcakes.
she likes to eat desserts e.g., ice cream and chendol up to 4 times a week.
she dislikes taking medications and often skips her multivitamin pills prescribed by the doctor as she wants to avoid the side effects.

Your assessment/conversation about her husband, Malcolm reveals:

he has been working the graveyard shift for 10 to 12 hours a day.
he works long hours, lacks exercise, eats unhealthy late-night meals, and sometimes skips meals.
he is stressed and fatigued from the prolonged working hours and finds it hard to make ends meet.
he smokes at home often and smokes about 25 cigarettes per day to stay alert and relieve stress.
he loves to meet his friends for drinking sessions during off days and often drinks up to 5 cans of beer.

Your assessment/conversation about her 6 years old son, Mason shows:

he does not eat fruits and vegetables and consumes fast-food three times a week or more.
he does not like to exercise and has a body mass index (BMI) of 20.
he grows up watching television regularly.
the family resorts to online videos and games to keep him occupied at home.
he sleeps about 7-8 hours a night.
he skips school most of the time due to asthma and allergic rhinitis symptoms.
he has difficulty paying attention in school.

Maisie is keen to adopt a healthier lifestyle for herself and her family but requires more information and guidance.

The post HS1207: Maisie, aged 41, is at the polyclinic for a prenatal check-up today. She is currently 12 weeks pregnant and has a history of 1 normal vaginal: Health Promotion Across the Lifespan Case Study, NYP appeared first on Singapore Assignment Help.