NU 661 Primary Care of the Childbearing Woman: Risk Assessment

This NU 661 case study presents a risk assessment table focusing on the primary care of a childbearing woman named Adeline. It identifies several risk factors, including syncope, supraventricular tachycardia (SVT), and high-grade squamous intraepithelial lesions on a Pap test, familial diabetes, breast cancer in the mother and early miscarriage, detailing the potential consequences of each. The table outlines a plan of action for each risk, encompassing current and future strategies for identification, treatment, monitoring, and prevention. Management strategies include intravenous access and oxygen administration for syncope, carotid sinus passage for SVT, and cryotherapy or LEEP for cervical lesions. For familial diabetes, the plan includes blood glucose monitoring, exercise, and dietary changes. The study also addresses routine prenatal care, including assessments, education, and anticipatory guidance, referencing relevant academic sources. Desklib provides this and other solved assignments to help students.

NU 661 Primary Care of the Childbearing Woman: Risk Assessment Table
Student Name:
Module:
Patient: Adeline
Risk Factor Identified
(identify any risks, current and
future, for the pregnancy in this
column.)
Potential Consequences
(for each risk identified please
indicate what is/are the
potential consequences for that
risk)
Plan of Action
(For each risk and consequence
please identify your current and
future plan of care to identify,
treat, monitor or prevent those
consequences.)
Faculty Feedback
Syncope Impairment in social life and the
capability to conduct activities of
daily living
Intravenous access and oxygen
administration are two current
management strategies. Future
management would encompass
advanced airway methods
SVT (supraventricular
tachycardia)
Rapid breathing, dizziness, chest
pain, shortness of breath, loss of
consciousness, and a sudden
increase in heart beat
Carotid sinus passage for
releasing chemicals that slow
heart rate (Page et al., 2016)
Presence of high grade squamous
intraepithelial lesions on Pap test
Sudden increase in abnormal
growth of epithelial cells that are
located on the cervical surface.
Cryotherapy and LEEP
(Goldstone, Johnstone &
Moshier, 2014)
NU 661 Risk Assessment Table

Familial diabetes Elevated blood glucose levels and
subsequent impairment in renal
function. Potential consequences
would also encompass
cardiovascular complications and
hypertension
Record keeping of blood glucose
levels, adherence to exercise and
dietary changes
Breast cancer in mother Development of unusual lump or
thickening in the breast tissues,
accompanied by discharge of
blood from the nipples, and
change in the shape and skin
around the breast
Limiting the intake of alcohol and
smoking, physical activity,
avoiding exposure to radiation
and weight control
Early miscarriage at the age of 15 Irregular menstrual cycle,
cramping and lower abdominal
pain, passing of clots and tissues,
vaginal bleeding and future
pregnancy complications
Administration of analgesics as
naproxen or acetaminophen for
reducing sudden abdominal
cramping (Wing et al., 2017)
Routine Visit assessment, education and anticipatory guidance: (please indicate what you would normally due during the routine
prenatal care for this patient based on the weeks gestation she is presenting at. In addition, list educational items, tests and
anticipatory guidance due at this visit).
NU 661 Risk Assessment Table

References:
Goldstone, S. E., Johnstone, A. A., & Moshier, E. L. (2014). Long-term outcome of ablation of anal high-grade squamous intraepithelial lesions:
recurrence and incidence of cancer. Diseases of the Colon & Rectum, 57(3), 316-323.
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H., Conti, J. B., Deal, B. J., ... & Indik, J. H. (2016). 2015 ACC/AHA/HRS guideline for the
management of adult patients with supraventricular tachycardia: a report of the American College of Cardiology/American Heart
Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Journal of the American College of
Cardiology, 67(13), e27-e115.
Wing, A. B., Cisneros, R., Lilo, S., & Henderson, C. (2017). Prenatal Use of Aspirin and Acetaminophen [22N]. Obstetrics & Gynecology, 129, S148.
NU 661 Risk Assessment Table