Answer the following questions based on the given scenario.

On an afternoon at the clinic, the community health nurse decided to do a home visit in one of the barangays in the community. The Community health nurse saw Mrs.VU on their back yard and she observe that she looks pregnant but did not pay any visit at the clinic. On the course of their conversation, she obtained the following data: Mr. and Mrs. VU have been living together for 13 years on their two- room house made of light materials. They have 5 children, 3 girls and 2 boys, 4 were studying and she is six months pregnant. Her 4 children are all in the school and her youngest daughter Maan, 3-year-old who appears to be thin for her age and kept scratching her rashes over her arms and legs.   Mrs. VU, 38-year-old, a high school graduate same as with her husband. She is a vendor, and her husband is a tricycle driver.

Mrs. VU verbalized that her pregnancy is unwanted, and she never submitted herself for medical checkup and even never visited the health center for prenatal checkup due to financial constraints. The following data are taken during the home visit.

• G6P5
• Age of gestation: 24 weeks
• Blood pressure: 140/90; weight: 120 lbs.
• Abdominal palpation: breech presentation, fetal heart tone: 140 beats/minute
• Significant finding: slight pedal edema
• Management: low salt diet, urinalysis, to come for prenatal checkup at the health center
• Furthermore, Mrs. VU stated that she experienced severe bleeding after delivery.

Guide Questions:

1. What does the family think about Mrs. VU’s condition?
2. Does the family recognize a possible complication of pregnancy? If no, why not?
3. How are the conditions in the home and the community environment? Do the family resources adequately provide for the family? If no, why not?
4. How is Maan? Does the family recognize a possible disease? If no, why not?
5. How are the other 4 children and the husband? How does the family members relate with each other?
6. If you are the community health nurse, what are the goals of care for this family?
7. Formulate at least three (3) family nursing problems out of the scenarios given

What is the major source of normal vaginal secretions?

What symptoms did Soo Lee experience that suggested a rheumatic condition?

-How did the doctor decide what type of rheumatic condition it was? Why didn’t they think it was rheumatoid arthritis?

1. Summarize the nutrient needs of older adults and discuss some of the nutrition-related health concerns common to old age.

2. How do nutritional needs change as adolescents age and move towards adulthood?

3. Describe school-aged children’s nutrient needs and discuss some of the nutrition-related issues they face, including childhood obesity. (Ages 4-8)

Option #1 -Discussion Assignment:

1. What is the endocrine disorder in this individual?
2. Is the patient’s delayed onset of puberty a primary or secondary disorder? Why?
3. Why is HCG used in the treatment?
4. Both FSH and HCG are needed in the treatment. Explain Why

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