Working Through COMMON Pregnancy Case Studies and Other Issues in Advanced Nursing Practice
The Assignment for this week is to provide you an opportunity to analyze one of five case studies provided. These case studies involve common pregnancy and psychosocial issues encountered in advanced nursing primary care practice. You will use the case study template under weekly resources to develop your assignment.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
- Review the 5 case studies in this week’s Learning Resources. Select one of the cases to prepare your written assignment.
- Review the Learning Resources for this week.
Assignment Instructions:
- Use the Case Study Template from the Learning Resources to complete the assignment. Your submission must include a brief case write-up, followed by the fully completed template, which must be integrated into the document rather than submitted separately.
- Include a title page, a case summary in your own words, the completed template, and a reference page formatted in APA style.
- Ensure your submission meets all criteria outlined in the template and rubric for completeness and accuracy.
By Day 7 of Week 9
Submit your case study assignment by Day 7 of Week 9.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
- To submit your completed assignment, save your Assignment as Wk9Assgn_LastName_Firstinitial
- Then, click on Start Assignment near the top of the page.
- Next, click on Upload File and select Submit Assignment for review.
Rubric
NRNP_6552_Week9_Case_Study_Assignment_Rubric
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NRNP_6552_Week9_Case_Study_Assignment_Rubric
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Criteria
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Ratings
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Pts
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This
criterion is linked to a Learning OutcomeAnalyzes
subjective and objective data and outlines applicable diagnostic tests
related to case studies.
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30 to
>26.7 ptsExcellentThe
response provides clear, complete, and comprehensive descriptions of
subjective and objective case data, appropriately outlining all diagnostic
tests, clinical procedures and pharmacological interventions.
26.7 to
>23.7 ptsGoodThe
response provides clear, complete partial descriptions of the components of
the subjective and objective case data, appropriately outlining most of the
diagnostic tests, clinical procedures and pharmacological interventions.
23.7 to
>20.7 ptsFairThe
response provides some components of the subjective and objective case data,
but they are incomplete, vague or inaccurate, outlining some of the
diagnostic tests, clinical procedures and pharmacological interventions.
20.7 to
>0 ptsPoorThe response provides unclear or
incomplete components of subjective and objective case data. The diagnostic
tests, clinical procedures and pharmacological interventions are missing,
incorrect, or inappropriately applied.
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30 pts
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This
criterion is linked to a Learning OutcomeIdentifies
differential diagnoses related to case studies.
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30 to
>26.76 ptsExcellentThe
response contains at least 3 differential diagnoses relevant and applicable
to the case.
26.76 to
>23.7 ptsGoodThe
response contains at least 2 differential diagnoses relevant and applicable
to the case.
23.7 to
>20.7 ptsFairThe
response contains at least 1 differential diagnosis relevant and applicable
to the case.
20.7 to
>0 ptsPoorThe response contains few or no
differential diagnoses and/or diagnoses are not relevant and applicable to
the case.
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30 pts
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This
criterion is linked to a Learning OutcomeFormulates
a treatment plan related to case studies based on scientific rationale,
evidence- based standards of care, and practice guidelines. Integrates
ethical, psychological, physical, financial issues and Social Determinants of
Health in plan.
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30 to
>26.76 ptsExcellentFormulates
a thorough treatment plan including explanations of appropriate diagnostic
tests and treatment options. Fully incorporates syntheses representative of
knowledge gained from the resources for the module and current credible sources,
with no less than 75% of the treatment plan having exceptional depth and
breadth. Supported by at least 3 current peer- reviewed, references or
professional practice guidelines.
26.76 to
>23.7 ptsGoodFormulates
a partially complete treatment plan including partial explanations of
appropriate diagnostic tests and treatment options. Somewhat incorporates
syntheses representative of knowledge gained from the resources for the
module and current credible sources with no less than 50% of the treatment
plan having exceptional depth and breadth. Supported by at least 3 current
peer- reviewed, references or professional practice guidelines.
23.7 to
>20.7 ptsFairFormulates
a minimally complete treatment plan including incomplete or vague
explanations of appropriate diagnostic tests and treatment options. Lacking
in synthesis of knowledge gained from the resources for the module and
current credible sources. Supported by at least 2 current peer- reviewed,
references or professional practice guidelines.
20.7 to
>0 ptsPoorFormulates a treatment plan that
contains incomplete explanations of appropriate diagnostic tests and
treatment options and/ or explanations are missing. Lacks synthesis gained
from the resources for the module and current credible sources. Supported by
1 or no current peer- reviewed, references or professional practice
guidelines.
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30 pts
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This
criterion is linked to a Learning OutcomeWritten
Expression and Formatting – English writing standards:
Correct
grammar, mechanics, and proper punctuation
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5 to
>4.45 ptsExcellentUses
correct grammar, spelling, and punctuation with no errors.
4.45 to
>3.95 ptsGoodContains
a few (1 or 2) grammar, spelling, and punctuation errors.
3.95 to
>3.45 ptsFairContains
several (3 or 4) grammar, spelling, and punctuation errors.
3.45 to
>0 ptsPoorContains many (≥ 5) grammar,
spelling, and punctuation errors that interfere with the reader’s
understanding.
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5 pts
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This
criterion is linked to a Learning OutcomeWritten
Expression and Formatting – The paper follows correct APA format for title
page, headings, font, spacing, margins, indentations, page numbers,
parenthetical/in-text citations, and reference list.
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5 to
>4.45 ptsExcellentUses
correct APA format with no errors.
4.45 to
>3.95 ptsGoodContains
a few (1 or 2) APA format errors.
3.95 to
>3.45 ptsFairContains
several (3 or 4) APA format errors.
3.45 to
>0 ptsPoorContains many (≥ 5) APA format
errors.
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5 pts
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Case #4. Laura.
History of Present Illness (HPI): Laura is a 16-year-old Caucasian G1P0. She presents to your office after missing her second period. She is “worried” as she “always gets her period on time”. She is in high
school- about to enter the 11th grade. She lives with her grandmother and 2 older siblings. Her urine pregnancy test in clinic today is positive.
Laura is sexually active with her boyfriend; they do not use condoms. He “pulls out” as birth control. She reports being treated at the health department for chlamydia and gonorrhea earlier this year. She thinks her boyfriend was treated but he is not answering her calls since she told him about the missedperiods a few weeks ago. She reports daily nausea, vomiting and dysuria for the past 2 weeks. Prior medical history: None. Prior surgical history: None
Current medications: None. Allergies: None
OB- GYN History: Menarche age 12, cycle length-7 days- frequency every 30 days- 2 tampons per day.
History of chlamydia and gonorrhea (GC) in the past year. Last pap reported normal at the time of chlamydia/ GC diagnosis. Has not received Human Papillomavirus (HPV) vaccine.
LMP: Approximately 2 months ago. Contraception history: Withdrawal
Social history: Lives with her grandmother, siblings. Denies EtOH or recreational drug use. Currently smoking 1 pack of cigarettes/ day
Family history: Mother deceased at age 42- drug overdose. Father unknown.
Review of Systems (ROS): Unremarkable with exception of as noted in HPI.
Physical Exam (PE)
VS: BP: 110/68, P: 80, RR: 18, T: 37.1 Weight: 110 lbs. (states usual weight 120 lbs.).
Physical exam is unremarkable with exception of a cloudy, yellow mucoid cervical discharge on speculum exam; friable appearance of the cervix with cervical motion tenderness (CMT). You palpate an 8-week size uterus on bimanual.
Laura’s urine reveals 2+ ketones, 2+ nitrates, and 3+ leukocytes.
