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Building a Pregnant Woman Comprehensive Health History

 

Interview summary with a Pregnant Woman
The pregnant Native American woman, 38 years old, has no symptoms of chronic obstructive pulmonary disease. According to Miloro et al. (2017), she mentions that she used to smoke frequently and only stopped three years prior to being married. She adds that she was excited to have more children in the future and that this was her first pregnancy. On the other hand, her father’s side of the family has a history of hypertension and her mother’s side of diabetes. She claimed not to have experienced a malaria attack in the previous five years when questioned. In addition, the pregnancy appears to be in good health and suggests that she has not experienced any problems in the last three months.

 

Technique Risk Assessment and Appropriateness for Various Patients
To get patient responses, I would use open-ended questions (Foronda, MacWilliams, & McArthur, 2016). One of these would be to explain the question to the patients first to make sure they understand it and can respond to it without difficulty. Open-ended questions ask detailed, sentence-based responses from the patient rather than requiring a yes-or-no response.

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Technique Risk Assessment and Appropriateness for Various Patients
By posing open-ended inquiries, you enable the patient to describe their illness in their own terms. For example, the woman can tell the clinician exactly how she feels. In medical facilities, this makes professional patient care possible (Wesson, Lucey, & Cooper, 2019). It also enables medical professionals to react quickly to unforeseen pregnancy hazards.

 

I would question the pregnant woman the following five times.
1. Were you well-prepared for this pregnancy?
2. What were your pre-pregnancy vital signs?
3. What was your pre-pregnancy weight?
4. Do you have any past miscarriages?
5. Since the start of your pregnancy, have there been any complications?
6. Are you an alcoholic?

 

References
Foronda, C., MacWilliams, B., & McArthur, E. (2016). Inter-professional communication in healthcare: An integrative review. Nurse education in practice, 19, 36-40. Retrieved June 2, 2021, from https://www.sciencedirect.com/science/article/pii/S1471595316300208

Miloro, M., Basi, D., Halpern, L., & Kang, D. (2017). Patient assessment. Journal of Oral and Maxillofacial Surgery, 75(8), e12-e33. Retrieved June 2, 2021, from https://www.joms.org/article/S0278-2391(17)30482-2/pdf

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Wesson, D. E., Lucey, C. R., & Cooper, L. A. (2019). Building trust in health systems to eliminate health disparities. Jama, 322(2), 111-112. Retrieved June 2, 2021, from https://jamanetwork.com/journals/jama/article-abstract/2735838