NU 661 Week 11 Assignment 1- Case Study

Regis University NU 661 Week 11 Assignment 1- Case Study-Step-By-Step Guide

This guide will demonstrate how to complete the Regis University NU 661 Week 11 Assignment 1- Case Study 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 NU 661 Week 11 Assignment 1- Case Study

Whether one passes or fails an academic assignment such as the Regis University NU 661 Week 11 Assignment 1- Case Study 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 NU 661 Week 11 Assignment 1- Case Study

The introduction for the Regis University NU 661 Week 11 Assignment 1- Case Study 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.

How to Write the Body for NU 661 Week 11 Assignment 1- Case Study

After the introduction, move into the main part of the NU 661 Week 11 Assignment 1- Case Study 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 NU 661 Week 11 Assignment 1- Case Study

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 NU 661 Week 11 Assignment 1- Case Study

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 NU 661 Week 11 Assignment 1- Case Study

Studies show that approximately 25% of expectant mothers will endure bleeding in the early stages of pregnancy, especially the first trimester (Vandana, 2019). This could result from provoked bleeding, infections, miscarriage, or ectopic pregnancy among others. This paper focuses on the assessment of a 35-year-old African American married woman by the name of Shannon with a chief complaint of amenorrhea for the past 6 weeks.

Subjective Information: From the provided information, the patient presents with a chief complaint of amenorrhea for the past 6 weeks. She however denies discharge, vaginal bleeding, edema, or headache. Her UCG is however positive from a test done last week. She also displayed negative results in urine tests for nitrate, glucose, and proteins. The patient’s past medical history is reported to be consistent for infertility. She however claims to have achieved the current pregnancy spontaneously. She also has a medical history of hypothyroidism, obesity, and HPV. Currently, she is taking drugs such as Valtrex and Levoxyl. The patient also reports a history of one pregnancy two years back which led to an early spontaneous miscarriage without any complications. The patient denies using any drugs. She is a career woman married for 7 years. However, during the week 7 prenatal visit, the patient presented with vaginal bleeding for approximately 3 hours with no associated symptoms. During 29^th week prenatal visit, her bleeding had stopped, but she presented with white clumpy vaginal discharge that is itchy with no odor or burning sensation. She however displayed no symptoms, with normal pregnancy during her week 33 prenatal visit, while controlling her elevated blood glucose levels.

Objective Information: From the collected lab results, it can be noticed that the patient’s TSH and T4 levels are high above normal limits in pregnancy. Her blood glucose levels are also slightly elevated indicating prediabetes. From her BMI, it can also be noticed that the patient is obese. During her week 7 and week 29 prenatal visit, her vitals still indicated elevated THS and blood sugar levels of which she continued using PNV and Levoxyl as prescribed. The fetal heart rate was however within normal limits but to the higher end of 160. During her 33 weeks of the prenatal visit, the fetal heart rate had elevated to 164, despite the pregnancy still being normal.

Additional Questions

What are your thoughts regarding your weight?
How is this pregnancy different from the last one?
What makes the bleeding stop?
And what are some of the physical activities that you enjoy? among others (Brown et al., 2018).

Assessment

Miscarriage: this can be described as the unexpected end of pregnancy before the 20^th week of pregnancy. It is associated with cramping and vaginal bleeding among other factors (Mahajan, 2019). The patient in the provided case study displayed vaginal bleeding for the first 6 weeks of pregnancy, with a history of consistent infertility. She also has elevated TSH levels which are associated with a high risk of miscarriage.
Ectopic pregnancy: This is common in the first trimester where the pregnancy forms outside the uterus. The patient will present with abnormal vaginal bleeding, dizziness, low blood pressure, pelvic pain, and rectal pressure (Mahajan, 2019). The patient in the provided case study was positive for abnormal vaginal bleeding but negative for all the other symptoms.
Vasa Previa- occurs when the membrane containing the fatal blood vessels that connect the umbilical cord and placenta overlie are within 2cm from the internal cervical os (Vandana, 2019). It is associated with painless vaginal bleeding, fetal bradycardia, and rupture of membranes. Transvaginal ultrasound is needed to confirm this diagnosis. However, the patient in the provided case study only presented with vaginal bleeding and negative for the other symptoms.

Plan:

What further assessment and/or diagnostic tests would you want to order?

Complete blood count (CBC) (Hendriks et al., 2019).
Ultrasonography
Kleihauer-Betke testing
Disseminated intravascular coagulation tests
Tests for infections such as UTI, chlamydia, and gonorrhea.

What treatments would you want to order?

IV fluid resuscitation, starting with normal saline solution 20mL/kg (Hendriks et al., 2019).
Blood transfusion

What education would you provide?

The patient should be educated on the importance of being hospitalized so that her fetus can be monitored and treated as needed (Hendriks et al., 2019).

Would you make any referrals to other providers?

Obstetrician-Gynecologist (Ob-Gyn)

What would her follow-up be?

Closely monitored after every 2 hours until she is discharged.

References

‌Brown, D. L., Packard, A., Maturen, K. E., Deshmukh, S. P., Dudiak, K. M., Henrichsen, T. L., … & Glanc, P. (2018). ACR Appropriateness Criteria® first trimester vaginal bleeding. Journal of the American College of Radiology, 15(5), S69-S77. https://doi.org/10.1016/j.jacr.2018.03.018

Hendriks, E., MacNaughton, H., & MacKenzie, M. C. (2019). First trimester bleeding: evaluation and management. American family physician, 99(3), 166-174. PMID: 30702252

Mahajan, M. (2019). Ultrasonographic Evaluation of First Trimester Bleeding and its Clinical Assessment: A Prospective Study. Journal of Medical Science and Clinical Research, 7(6). https://doi.org/10.18535/jmscr/v7i6.22

Vandana, J. (2019). Need of Sonography in Vaginal Bleeding in Early Pregnancy; As a Primary Investigation. Journal of Medical Science and Clinical Research, 7(12). https://doi.org/10.18535/jmscr/v7i12.52