A Difficult Pregnancy

A Nurse Practitioner Looks for Answers

By Karol P. Rejman

Abstract

This case study, about a developmentally disabled, 30-weeks-pregnant 19-year-old, presents some of the patient management issues that health care workers face. The case is used in a graduate level seminar for family nurse practitioner students going through their clinical experience. It would also be appropriate for medical students and, with a few minor modifications, could be used for undergraduate level nursing students.

Download Case

Date Posted

01/03/2001

Overview

Objectives

Discuss patient management issues in pregnancy: diagnosis, treatment, and patient education—especially the alternatives with rationales.
Explore the psychosocial issues of the case.
Discuss the issues of managing a patient with developmental disabilities.
Discuss the issues of managing a patient with a culture different from your own.
Discuss issues related to working in an office where you are a minority.

Keywords

Pregnancy; prenatal testing; prenatal care; patient management; urinary tract infection; ketonuria; Rh negative blood type; developmental disability

Subject Headings

Medicine (General)

Nursing

EDUCATIONAL LEVEL

Undergraduate upper division, Graduate, Clinical education

FORMAT

PDF

TOPICAL AREAS

Ethics, Social issues

LANGUAGE

English

TYPE/METHODS

Discussion