nstructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA 7 format. CASE STUDY: Active Labor: Susan Wong Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information. Reflective Questions 1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs? 2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views? 3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future

Reflective Question 1:

As the nurse, it is crucial to collect priority data from Mrs. Wong and her husband to better understand their needs and provide appropriate interventions. The data collected should encompass both Mrs. Wong’s medical history and her personal preferences. The following priority data should be gathered:

1. Medical history: It is essential to obtain detailed information regarding Mrs. Wong’s previous abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. This information will help in understanding the potential risks and complications associated with the pregnancy.

2. Communication: Assessing the couple’s communication with regards to their differing viewpoints on terminating or continuing the pregnancy is crucial. Understanding their past discussions and any unresolved conflicts can aid in determining appropriate interventions.

3. Decision-making process: It is important to gather information about how the couple came to their current decision regarding the ultrasonography and the potential spinal problem. Understanding their decision-making process will help in providing appropriate support and guidance.

4. Emotional well-being: Assessing Mrs. Wong’s emotional state and her husband’s emotions regarding the current situation is vital. Understanding their fears, concerns, and hopes will help the nurse provide compassionate care tailored to their emotional needs.

5. Support system: Gathering information about the couple’s support system, such as family and friends, is important. This will help identify the availability of emotional support and potential resources that can aid in decision-making and coping with a negative outcome.

6. Cultural and religious beliefs: It is crucial to understand the couple’s cultural and religious beliefs, as these may influence their decision-making process and perceptions of terminating or continuing the pregnancy. This information will allow the nurse to approach discussions and interventions with sensitivity and respect for their beliefs.

By collecting this priority data, the nurse can gain a comprehensive understanding of the couple’s needs and concerns, enabling them to provide tailored interventions and support throughout the birthing process.

Reflective Question 2:

If Mrs. Wong and her husband experience a negative outcome in the birthing suite, it is essential for the nurse to provide emotional support and guidance. As a nurse, personal views on terminating or continuing a pregnancy with a risk of a potential anomaly should not interfere with the care provided. The focus should be on promoting the well-being and autonomy of the couple.

To help the couple in such a situation, the nurse can:

1. Provide emotional support: Offer empathy, active listening, and a non-judgmental approach to create a safe space for the couple to express their emotions and concerns. Encourage open communication and provide reassurance that their feelings and decisions are valid.

2. Respect autonomy: Recognize and respect the couple’s right to make their own decisions regarding the pregnancy, even if it differs from the nurse’s personal views. Provide unbiased information about available options, potential risks, and benefits, empowering the couple to make informed decisions based on their values and beliefs.

3. Coordinate multidisciplinary care: Collaborate with other healthcare professionals involved in the couple’s care, such as obstetricians, genetic counselors, and social workers. By coordinating care, the nurse can ensure that the couple receives comprehensive support and access to appropriate resources.

My personal views on terminating or continuing a pregnancy with a risk of a potential anomaly cannot influence the care provided to the couple. As a healthcare professional, it is important to separate personal beliefs from professional duties and provide patient-centered care. The factors that may influence personal views on this matter can vary, including personal values, cultural background, religious beliefs, and experiences. However, it is crucial to set these aside and prioritize the couple’s autonomy and well-being in the delivery of care.

Reflective Question 3:

The Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy have the potential to significantly impact maternity care in the future. The ability to predict such anomalies can provide opportunities for early interventions, improved management, and informed decision-making for parents.

With advances in genetic screening and prenatal diagnostics, maternity care may shift towards more personalized and informative approaches. Healthcare providers may offer comprehensive genetic counseling as a routine part of prenatal care, providing information about the potential risk of genetic anomalies at an earlier stage. This can empower parents to make informed decisions about their pregnancy and establish appropriate support systems.

Additionally, there may be advancements in medical interventions and treatments based on the early detection of anomalies. Early identification can allow for prompt referral to specialized prenatal care units and appropriate management plans, potentially improving outcomes for both the mother and the fetus. The integration of genetic information into maternity care may also lead to advancements in prenatal education, enhanced emotional support, and improved coordination of care among different specialties involved in the management of high-risk pregnancies.

In conclusion, the influence of the Human Genome Project and the ability to predict open spinal defects earlier in pregnancy has the potential to revolutionize maternity care. It may enhance personalized care and decision-making, improve outcomes for high-risk pregnancies, and provide comprehensive support to parents throughout their pregnancy journey. However, it is essential for healthcare providers to approach these advancements with ethical considerations, ensuring that individual autonomy, emotional support, and cultural sensitivity remain central to the care provided.