NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS

Walden University NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN

Whether one passes or fails an academic assignment such as the Walden University NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN

The introduction for the Walden University NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

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How to Write the Body for NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN

After the introduction, move into the main part of the NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRNP 6552 Week 8 COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN

Case # (1, 2, 3 or 4) and Description of the Case Chosen:

Case 3

Outline Subjective data.

Identify data provided in your chosen case and any additional data needed.

Outline

Objective findings.

Identify findings provided in your chosen case and any additional data needed.

Identify diagnostic tests, procedures, laboratory work indicated.

Describe the rationale for each test or intervention with supporting references.

Distinguish at least three differential diagnoses.

Describe the rationales for your choice of each diagnosis with supporting references.

Identify appropriate medications, treatments or other interventions associated with each differential diagnosis.

Describe rationales and supporting references for each.

Explain key

Social Determinants of Heath (SDoH) for your chosen case.

Describe collaborative care referrals and patient education needs for your chosen case.

Describe rationales and supporting references for each.

· A 36-year-old Hispanic female gravida 2 para 1 at 24-week gestation.

· Her only complaint during this visit is weight gain in this current pregnancy.

· In her first pregnancy, she reports that she delivered a 9 lbs viable male infant via spontaneous vaginal delivery after 10 hours of labor.

· She also denies any complications during the pregnancy, delivery, and postpartum.

· There is a family history of diabetes in the paternal grandfather and aunt.

· There is an additional family history of obesity in the father and mother.

From the history, I would also wish to know:

1. If the patient has been experiencing polydipsia, excessive thirst, or polyuria.

2. If there was history of gestational diabetes mellitus in the first pregnancy (Nakshine et al., 2023).

3. The gestation age at delivery in her first pregnancy.

4. If the patient has had any prior diabetes mellitus screening.

5. If the patient engages in any exercises while at home

6. The kind of diet they take.

7. If the patient has been experiencing any urinary symptoms such as dysuria, increased frequency, and urgency.

· Vitals: sitting BP of140/84 and HR-92/min

· Height 5’2”, Weight 170 lbs, BMI 31.1.

· Head and ENT examination had normal findings.

· The neck was supple without adenopathy and thyromegaly.

· The lungs were eupneic and clear on auscultation bilaterally.

· The CVS exam had RRR, soft systolic murmur Grade II/VI, no rubs noted, 2+ peripheral pulses, and no edema noted

· The breasts were soft and had fibrocystic changes bilaterally without masses, dimpling, discharge, redness, or inflammation noted.

· The genitourinary examination revealed uterus size at umbilicus-approximately 24 weeks’ gestation that was size that was non-tender and had fetal heart tones with Doppler.

Additional objective data I would need would include:

1. Presence of pallor and jaundice on general examination (Yang et al., 2022).

2. Rate and rhythm of fetal heart tones.

· Oral glucose tolerance test (OGTT) as a first line test in determining plasma glucose control by a glucose challenge test (Moon et al., 2021).

· A urinalysis to detect presence of proteins and pus cells in urine which may be indicative of proteinuria and urinary tract infections in the current pregnancy.

· Repeat blood pressure measurements four hours apart to evaluate whether there is hypertension in the current pregnancy.

· Basic metabolic panel to evaluate renal function and electrolytes for any abnormalities.

· A liver function test for evaluation of liver function in a setting of possible hypertension in pregnancy.

· Complete blood counts and hemoglobin to assess for any anemia, leukocytosis, and thrombocytopenia.

· Obstetric ultrasound to assess for fetal growth, anomalies, and status of placentation.

· HbA1C levels to determine period of hyperglycemia (Sweeting et al., 2022).

Gestational diabetes mellitus (GDM)

· GDM is a condition characterized by glucose intolerance and hyperglycemia that is first recognized in pregnancy. The diagnosis is made after a positive OGTT screening test that is done between the 24^th and 28^th week of gestation (Tehrani et al., 2021).

· Obesity, family history of diabetes, and previous history of delivery of a large for gestation age neonate are common predisposing factors for the development of GDM in this patient.

· In addition, weight gain during the pregnancy which may have been associated with a sedentary lifestyle due to her current occupation also predispose the patient to the condition.

Type 2 diabetes mellitus

· An underlying undiagnosed type 2 diabetes mellitus is a common diagnosis that presents with hyperglycemia before 24 week’s gestation (Raets et al., 2023).

· The predisposing factors to the diagnosis include, obesity and a positive family history of diabetes mellitus.

Hypertensive disease in pregnancy

· The patient’s sitting blood pressure at 140/84 mmHg, which is slightly elevated for a normal pregnancy (Yang et al., 2022).

· An advanced maternal age, obesity, and an underlying diabetes mellitus highly predispose the patient to hypertensive diseases of pregnancy such as preeclampsia and gestational hypertension.

GDM and type 2 diabetes mellitus

· Encourage weight loss and regular exercises.

· Nutritional therapy to include foods rich in complex carbohydrates and cellulose (Nakshine et al., 2023).

· Insulin 10 units subcutaneously OD.

Hypertensive diseases in pregnancy

· Nifedipine 20 mg PO BD (Yang et al., 2022).

· Encourage weight loss, exercise, and nutritious diets.

GDM

· GDM is a common medical complication affecting pregnancy that results from insulin resistance and abnormal glucose metabolism.

· If left unscreened, the diagnosis often complicates a pregnancy and may cause maternal complications such as, diabetic ketoacidosis, neuropathies, retinopathies, and nephropathy (Moon et al., 2022).

· Other complications include still birth, polyhydramnios, urinary tract and preeclampsia which often complicate the pregnancy.

· In addition, neonates born from GDM mothers are at high risk of developing neonatal hypoglycemia, macrosomia, hypothermia, jaundice, respiratory distress, and prematurity.

· The patients are also at risk of developing overt type 2 diabetes if the blood glucose levels are poorly controlled and insulin resistance persists (Tehrani et al., 2021).

GDM

Referrals

1. Endocrinologist

I would recommend a referral to an endocrinologist who would help tailor the patient’s treatment (Harrison et al., 2022).

An endocrinologist would be crucial in evaluating the appropriate medications such as insulin the patient would need to maintain controlled blood sugar levels.

2. Maternal Fetal Specialist

Patients with GDM are at high risk several complications that may negatively impact their and their unborn child’s health.

As a result, the referral to the maternal fetal specialist is crucial as they ensure the mother is closely monitored thus reducing the incidence of complications such as still birth (Harrison et al., 2022).

Additionally, they can help plan for delivery of the neonate.

3. Nutritionist

A nutritionist helps advise the patient on the proper diets they need that would help in sugar control (Sweeting et al., 2022).

Patient Education

· The patient needs to be advised on weight loss, exercise, and healthy diets.

· The patient needs to be advised on the importance of controlled blood sugar levels and its impact on pregnancy outcomes (Haron et al., 2023).

· The patient need to be advised on the importance of regular follow-up visits for close monitoring.

· The patient needs to be advised on the warning symptoms such as vaginal bleeding, drainage of amniotic fluid, lower abdominal pains, and reduced or absent fetal movements as complications of the pregnancy.

· Patient needs to be advised on the importance of regular blood sugar testing and recording for monitoring purposes.

References

Haron, Z., Sutan, R., Zakaria, R., & Mahdy, Z. A. (2023). Self-care educational guide for mothers with gestational diabetes mellitus: A systematic review on identifying self-care domains, approaches, and their effectiveness. Belitung Nursing Journal, 9(1), 6-16. https://doi.org/10.33546/bnj.2396

Harrison, J., Melov, S., Kirby, A. C., Athayde, N., Boghossian, A., Cheung, W., Inglis, E., Maravar, K., Padmanabhan, S., Luig, M., Hook, M., & Pasupathy, D. (2022). Original research: Pregnancy outcomes in women with gestational diabetes mellitus by models of care: A retrospective cohort study. BMJ Open, 12(9). https://doi.org/10.1136/bmjopen-2022-065063

Moon, J. H., & Jang, H. C. (2021). Gestational Diabetes Mellitus: Diagnostic Approaches and Maternal-Offspring Complications. Diabetes & Metabolism Journal, 46(1), 3-14. https://doi.org/10.4093/dmj.2021.0335

Nakshine, V. S., & Jogdand, S. D. (2023). A Comprehensive Review of Gestational Diabetes Mellitus: Impacts on Maternal Health, Fetal Development, Childhood Outcomes, and Long-Term Treatment Strategies. Cureus, 15(10). https://doi.org/10.7759/cureus.47500

Raets, L., Ingelbrecht, A., & Benhalima, K. (2023). Management of type 2 diabetes in pregnancy: A narrative review. Frontiers in Endocrinology, 14. https://doi.org/10.3389/fendo.2023.1193271

Sweeting, A., Wong, J., Murphy, H. R., & Ross, G. P. (2022). A Clinical Update on Gestational Diabetes Mellitus. Endocrine Reviews, 43(5), 763-793. https://doi.org/10.1210/endrev/bnac003

Tehrani, F. R., Ghare Naz, M. S., Yarandi, R. B., & Behboudi-Gandevani, S. (2021). The Impact of Diagnostic Criteria for Gestational Diabetes Mellitus on Adverse Maternal Outcomes: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 10(4). https://doi.org/10.3390/jcm10040666

Yang, Y., & Wu, N. (2022). Gestational Diabetes Mellitus and Preeclampsia: Correlation and Influencing Factors. Frontiers in Cardiovascular Medicine, 9. https://doi.org/10.3389/fcvm.2022.831297