Evaluating Outcomes: At her second prenatal visit, Maria expresses satisfaction with her health and expresses a desire to continue making positive lifestyle changes. She reports a better understanding of her nutritional needs and has started walking daily. Which of the following would be the most appropriate next step in her prenatal care to evaluate the effectiveness of the nurse’s interventions?

Alex, 17, is seeking therapy to help navigate the anxiety and distress they are feeling about deciding when and how to come out as transgender to their family and friends. If using a narrative therapy approach, what would be a useful initial topic to explore with Alex?  

A nurse is assessing a patient at 28 weeks gestation who complains of dizziness after lying on her back. The likely cause is:

A nurse is assessing a patient in the second trimester. Which finding is abnormal and requires immediate follow-up?

Which of the following are common risk factors for maternal health disparities in the United States? Select all that apply.

Taking Action: Maria is concerned about taking prenatal vitamins because she has heard they can sometimes cause stomach upset. Which of the following actions should the nurse recommend to address this concern while promoting wellness for both Maria and her baby?

Analyzing Data: Maria expresses concern about her diet, as she has not been eating very well lately due to her busy work schedule. She admits to eating mostly fast food and occasionally skipping meals. What is the nurse’s best response to support Maria’s nutrition and wellness?

Clinical Case Vignette B: Naomi  Placement Site: Community-Based Nonprofit PracticeThis nonprofit provides trauma-informed, culturally sensitive care with an emphasis on strengths-based approaches. Supervisors expect therapists-in-training to use approaches that prioritize client safety, autonomy, and cultural responsiveness, and require therapists to document both strengths and measurable therapeutic progress in each session. Client Factors:Naomi is a 30-year-old African American woman who recently divorced her husband due to years of verbal and emotional abuse. She reports feeling relief from the divorce, but also struggles with anxiety, depression, guilt, and self-doubt. Naomi is working full-time as a teacher and is living alone, but she feels isolated and disconnected from her social circle. She finds it difficult to talk about her experiences, fearing judgment and misunderstanding. Naomi identifies as Christian, though she has distanced herself from her church community due to concerns about feeling excluded. She remembers growing up in a household where emotional expression was discouraged, which has contributed to her difficulty in processing and articulating her feelings. Naomi is highly motivated to move forward, but uncertain about how to rebuild her self-esteem, establish healthy relationships, and find her place within a supportive community. —————————– Question 3. Describe your theory-based therapist role/posture.

A patient in her second trimester is concerned about gaining too much weight. The nurse should advise that healthy weight gain during the second trimester typically ranges between:

A patient at 12 weeks gestation reports intermittent spotting and mild cramping. What should the nurse advise?