1.The nurse educator has been asked by a local women’s cancer support group to speak with their daughters and granddaughters about cervical cancer. (Learning Objectives 1, 2, 3, and 4)
2. Janet is a 67-year-old Caucasian client coming to your office today to receive her test results after being seen a week ago for complaints of pelvic and abdominal discomfort, urinary frequency and urgency, and abdominal bloating despite not eating much. You are in the room with Janet when her doctor enters the room and gives Janet the diagnosis of probable ovarian cancer. He wants to schedule surgery immediately. He leaves you and Janet to discuss the situation and come up with a decision regarding immediate surgery. Janet is stunned and has a lot of questions. (Learning Objectives 2, 3, and 6)
1. Lauren has been a pediatric nurse at a children’s hospital for the past 7 years. Recently she began a new job as a nurse in a genetics office. One of today’s cases involves Emily and Brad Davis. Emily is a young white female who looks to be in her mid-twenties. Her husband, Brad, is a young white male. Lauren notices the young woman is pregnant, most likely sometime in her mid-trimester. (Learning Objectives 4 and 6)
Lauren introduces herself and explains that she needs to obtain a complete medical history from the couple. When the history is complete, Lauren finds the following pertinent facts:
2. Abbie and her husband, Greg, come to your genetics center for additional testing after having had a “positive” maternal serum alfa protein test (MSAFP) at 16 weeks gestation and a “positive” triple screen test at 18 weeks gestation. Abbie is now 20 weeks pregnant. (Learning Objectives 4, 5, and 6)
1. Jessica and Mike are new clients at your obstetrics office. You are asking them about the reason for their visit. Jessica says she thinks she is pregnant because she missed a period. Mike tells you Jessica is always nauseated in the morning and eats all the time the rest of the day. They have not been using birth control and have wanted to have children since they got married last summer. Jessica says her clothes are feeling tighter and her breasts seem tender. Mike says he has noticed that Jessica has been frequently getting up to go to the bathroom at night. (Learning Objectives 1 and 3)
2. Beth (age 18) is experiencing her first pregnancy and is now 24 weeks gestation. She tells you that she is “amazed by the changes that have happened to my body already.” Beth wants to understand what additional changes are going to occur to her “besides just getting a really huge belly.” Additionally, Beth relates to you that she is in her senior year of high school, is no longer involved with the baby’s father, and lives at home with her mother and 12-year-old brother. (Learning Objectives 2 and 4)
ANSWER EVERY QUESTION UNDER THE CASE STUDY, ANSWERS CAN BE SHORT 5-7 SENTENCES.
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