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Gwen comes to the clinic with a black eye and a broken arm. Her husband is with her. He answers your questions and does not let Gwen talk to you. He shows love and concern for her in your presence. How are you going to proceed with your assessment? What factors do you want to assess? How can you get Gwen alone to talk to her? What stage of the abuser cycle are they in at this time? What can you do for Gina? (2 points)

Martha is a 19-year-old woman who presents to labor and delivery at 38 weeks in active labor. She appears to be under the influence of drugs. What will you do at admission? What about after the delivery of the baby?  (2 points)

Jenny is a primipara who is 17 years old. She is 1 day postpartum and had a vaginal delivery. You have brought her baby to her room to give a bath demonstration and are trying to get her involved in the care. She seems reluctant to participate and tells you that her mother is going to be helping her so she can learn to take care of her daughter after she gets home. Why is it important for her to become actively involved in infant care as soon as possible? How will you encourage her to be an active participant before she is discharged? (2 points)

Gina is a 19-year-old G1P0 who has just had a routine ultrasound for fetal anatomy at 20 weeks of gestation. The physician has informed Gina and her boyfriend that the baby appears to have a cleft lip and may have cleft palate. The nurse is seeing Gina and her boyfriend after they receive this news. Gina is crying and wondering why this happened. What can you tell Gina about the cause of this anomaly? How can the nurse help Gina and her boyfriend cope with the findings at this time? What resources would be appropriate to offer the couple on their next prenatal visit? (2 points)

Maggie is a 39-year-old pregnant woman. Compare the expected outcome of the pregnancy of a 39-year-old with that of the pregnancy of a 28-year-old. After some prenatal testing, it is found that the baby has anomalies that are incompatible with extra uterine life. What can you do for this mother? (2 points)



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