After graduating from nursing school and passing your boards, you accepted a position as an RN in the emergency center at Rasmussen General Hospital (RGH). In the weeks ahead, your emergency center plans to implement a new initiative where clients diagnosed with low-risk deep vein thrombosis (DVT) will be sent home on 3 months of oral anticoagulation therapy with rivaroxaban.

Historically, clients diagnosed with DVTs in the emergency center were admitted to the hospital’s observation unit. However, when surveyed about their experiences, many clients reported that this was costly, time-consuming, and inconvenient. Under RGH’s new program, emergency center nurses will be responsible for educating clients about their new medication and administering the first dose to the client before discharge.

As part of this new initiative, all emergency center nurses at RGH must be trained to properly educate these clients on all aspects of their new medication regimen. Because you have demonstrated a keen interest in pharmacology, your manager has asked you to develop the educational tools that will be used to train the nurses at RGH.

It’s worth noting that the standard dosing for all low-risk DVTs is as follows:

• 15 mg BID, 12 hours apart, for 21 days
• After 21 days, use 20 mg once per day
• After 90 days, the client will follow up in the thrombosis clinic to evaluate if they meet criteria for discontinuing the medication

Assignment Instructions

Your manager explained that all of the emergency center nurses at RGH will be educated in small groups through a short, in-service training session. You have been asked to develop a professional-looking PowerPoint presentation that the trainers will use to guide the in-service sessions. Your PowerPoint will need to:

1. Be professional-looking, have a title slide, and 10-15 content slides.
2. Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the content slides.
   • The Speaker Notes for each slide will contain the text that will guide what the trainer will say while presenting the slides during the in-service.
   • The content slides themselves should be clear and easy to understand; they serve as an outline so the audience can follow along with what is being presented.
3. Be written using proper spelling/grammar and at a level that would be appropriate for the audience.
   • Remember the purpose of the training is to help nurses learn to educate their clients about the use of a medication. With that in mind, it may be helpful to provide examples of how to explain the information to a client in an easy to understand way without complicated, technical terms.
4. Include APA formatted in-text citations for at least 3 scholarly references and present the sources in APA format on a References slide.
5. Contain content addressing the items below.
   1. Pharmacotheraputics
      1. State the drug name and its therapeutic category
      2. Pharmacodynamics (how does this drug work to achieve its intended response)
      3. Pharmacokinetics (how is this drug absorbed, distributed, metabolized, and excreted).
      4. Discuss dosage, scheduling, route, and length of therapy.
      5. Describe what clients can expect regarding their therapeutic response and when it should develop
      6. Introduce nondrug measures that clients can do to enhance their therapeutic response (e.g., specific diet to follow, exercise requirements, substances to avoid, special precautions to take, etc.)
   2. Side Effects, Adverse Effects, and Interactions
      1. Explain the symptoms of common side effects, and what clients can do to minimize any discomfort
      2. Explain the symptoms of any major adverse effects, and what clients should do if they experience them
      3. List the major adverse drug-drug interactions and drug-food interactions that clients need to be made aware of
   3. Follow-up Care
      1. Provide information regarding when clients should call their doctor for advice (e.g., questions, non-urgent symptoms, unpleasant side effects, etc.)
      2. Emphasize any symptoms for which clients should seek immediate care (e.g., when to go to the emergency center or call 911)

When developing a professional-looking presentation, it’s important to be mindful of how you layout your content. The slides should present key points, arranged in a logical manner, without extraneous information contributing to a cluttered look. Using the Speaker Notes feature in PowerPoint is a great way to include relevant details without overloading the slides.

For information about creating PowerPoint presentations or adding Speaker Notes, consult the resources below.

• Writing Guide: PowerPoints
• How do I add Speaker Notes to my PowerPoint presentation slides?
• PowerPoint FAQ
• PowerPoint & APA: citing sources and creating reference lists in PPT presentations 

Please fully read the requirements for this assignment and fully understand what needs to be done.Thank you

I need the following questions answered in 150 words each. Please answer questions as asked with no omissions and please attach references with each question. PLEASE, NO PLAGIARIZED WORK

MODULE 1

Q1

Statistics is an important component of public health. Explain the relevance of statistics in the planning, implementation, and evaluation of a health promotion intervention. How do you envision using statistics in your current or future career?

Q2

Describe the difference between quantitative and qualitative methods. Explain how each are used in public health.

RESOURCES

Read Chapter 1 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

View “The Human Insights Missing From Big Data,” by Wang (2016), located on the TED website.

URL: https://www.ted.com/talks/tricia_wang_the_human_insights_missing_from_big_data

Read “Statistics and Public Health at CDC,” by Sieber, Green, and Williamson (2006), located on the Center for Disease Control and Prevention (CDC) website.

URL:https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a9.htm

View “Why You Should Love Statistics,” by Smith (2017), located on the YouTube website.

URL: https://www.youtube.com/watch?v=ogeGJS0GEF4&feature=youtu.be

View the following terms in The Visual Learner: Statistics media.

1. Statistics

2. Data

3. Continuous Data

4. Discrete Data

5. Interval Level

6. Ordinal Data

7. Nominal Data

8. Population

9. Sample

10. Parameter

11. Statistic

URL: http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

Read “Integrating Quantitative and Qualitative Data in Mixed Methods Research – Challenges and Benefits,” by Almalki, from Journal of Education and Learning (2016).

URL: http://files.eric.ed.gov/fulltext/EJ1110464.pdf

SPSS Statistics will be used to complete some of the case study assignments for this course. Refer to “Using Citrix Workspace” in the GCU Technical Support Help Center for assistance with installing the Citrix Workspace App and preparing for SPSS files.

URL: https://support.gcu.edu/hc/en-us/articles/201144000-Using-Citrix-Workspace

After Citrix has been installed on your computer, you may access SPSS Statistics at https://myapps.gcu.edu.

Read “Quantitative and Qualitative Methods for Public Health,” from PH717 Module 1B – Descriptive Tools: Descriptive Epidemiology and Descriptive Statistics, located on the Boston University Medical Campus, School of Public Health website (2019).

URL: https://sphweb.bumc.bu.edu/otlt/MPH-Modules/PH717-QuantCore/PH717-Module1B-DescriptiveStudies_and_Statistics/PH717-Module1B-DescriptiveStudies_and_Statistics9.html

MODULE 2

Q1

Frequency distributions can be graphed with bar charts, histograms or polygons. Choose one variable from the “Health Behavior Data Set” and discuss which type of graph is appropriate and why. Refer to section 2.3 in the Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences textbook as needed for assistance.

Q2

The mean, median, and mode are measures of central tendency. Explain why these measures are crucial to public health data analysis.

STUDY MATERIALS

Read Chapters 2, 3, and 5 (section 5.1) in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences. URL: 

http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

Read “Data Collection for Program Evaluation,” located on the Northwest Center for Public Health Practice website (2019). URL: https://www.nwcphp.org/docs/data_collection/data_collection_toolkit.pdf

Read “Statistical Methods Used in the Public Health Literature and Implications for Training of Public Health Professionals,” by Hayat, Powell, Johnson, and Cadwell, from PLoS One (2017). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462407/

View the following tutorials from the SPSS Tutorials media.

1. Frequency Tables and Histograms

2. Descriptive Statistics

URL:https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CHSS;CONHCP/1DF486B2-8C58-E811-B595-005056BDD6DE

View the following terms in The Visual Learner: Statistics media.

1. Confounding

2. Histogram

View the following calculations in The Visual Learner: Statistics media.

1. Frequency Distribution

2. Measure of Center “Mean”

3. Measure of Center “Median”

4. Measure of Center “Mode”

5. Range and Standard Deviation

6. Variance

URL: http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

You will use Microsoft Excel for your assignment, and you will need to enable to Data Analysis ToolPak add-in. The “Enabling Data Analysis ToolPak” guide located on the GCU Technical Support website, contains instructions for the add-in for both PC and Mac.

URL: https://support.gcu.edu/hc/en-us/articles/360039768454-Excel-Add-ins

You will use Microsoft Excel for your assignment, and you will need to enable to Data Analysis ToolPak add-in. The “Enabling Data Analysis ToolPak” guide located on the GCU Technical Support website, contains instructions for the add-in for both PC and Mac. URL: https://support.gcu.edu/hc/en-us/articles/360039768454-Excel-Add-ins

View “The Beginner’s Guide to Excel – Excel Basics Tutorial,” by Technology for Teachers and Students (2017), located on the YouTube website. URL: https://www.youtube.com/watch?v=rwbho0CgEAE&feature=youtu.be

MODULE 3

Q1

Summarize the six steps of hypothesis testing. Propose a scenario in which hypothesis testing is applied to public health data.

Q2

Compare and contrast descriptive and inferential statistics. Discuss why both descriptive and inferential statistics are used in the analysis of public health data.

STUDY MATERIALS

Read Chapters 6 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL:http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php.

Read “Significance,” by Frey, from The SAGE Encyclopedia of Educational Research, Measurement, and Evaluation (2018).

URL: https://methods.sagepub.com/reference/the-sage-encyclopedia-of-educational-research-measurement-and-evaluation/i18904.xml

Read “Chapter 12 Descriptive Statistics,” by McGregor, from Understanding and Evaluating Research: A Critical Guide (2018).

URL: https://methods-sagepub-com.lopes.idm.oclc.org/book/understanding-and-evaluating-research/i2843.xml

View “Statistical Significance, the Null Hypothesis and P-Values Defined and Explained in One Minute,” by One Minute Economics (2018), located on the YouTube website.

URL: https://www.youtube.com/watch?v=nb75_GFPD9A&feature=youtu.be

View “SPSS for Beginners 1: Introduction,” by Research Design (2011), located on the YouTube website.

URL: https://www.youtube.com/watch?v=ADDR3_Ng5CA&feature=youtu.be

View the following tutorials from the SPSS Tutorials media.

1. Frequency Tables and Histograms

2. Descriptive Statistics

URL: https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CHSS;CONHCP/1DF486B2-8C58-E811-B595-005056BDD6DE

SPSS Statistics will be used to complete some of the case study assignments for this course. Refer to “Using Citrix Workspace” in the GCU Technical Support Help Center for assistance with installing the Citrix Workspace App and preparing for SPSS files.

URL: https://support.gcu.edu/hc/en-us/articles/201144000-Using-Citrix-Workspace

After Citrix has been installed on your computer, you may access SPSS Statistics at https://myapps.gcu.edu.

View “Introduction to SPSS,” by GCU Academics – Nursing (2020). Use this resource to assist you in completing the topic assignment.

URL: https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CONHCP/62DF3BAF-5A03-EB11-9111-005056BDE9D6

MODULE 4

Q1

Correlation is a common statistic to measure a general linear relationship between two variables. Explain why correlation does not equal causation.

Q2

Explain the differences between parametric and nonparametric tests. How do you determine if a parametric or nonparametric test should be used when analyzing data?

STUDY MATERIALS

Read Chapters 13 and 15in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL: http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

Read “Correlation of Sleep Quality With Physical Activity and Memory Among Young Adults,” by Dubey, Tiwari, and Siddiqui, from Indian Journal of Physiotherapy and Occupational Therapy (2019).

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135203343&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost

Read “The Role of Community-Wide Wearing of Face Mask for Control of Coronavirus Disease 2019 (COVID-19) Epidemic Due to SARS-CoV-2,” by Cheng et al., from Journal of Infection (2020).

URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0163445320302358?via%3Dihub

Explore the “Adolescent and School Health” page located on the Centers for Disease Control and Prevention website.

URL: https://www.cdc.gov/healthyyouth/

Utilize topics from the Loom Help Center website for assistance on installing Loom software and software usage.

URL: https://www.gcumedia.com/digital-resources/opentest-inc/2018/loom_1e.php

View “Conducting a Pearson Correlation and Chi-Square Test in SPSS,” by GCU Academics – Nursing (2020). Use this resource to assist you in completing the topic assignment.

URL: https://www.gcumedia.com/lms-resources/student-success-center/?mediaElement=210EADEC-5A03-EB11-9111-005056BDE9D6

MODULE 5

Q1

Compare the various types of ANOVA by discussing when each is most appropriate for use. Include specific examples to illustrate the appropriate use of each test and how interaction is assessed using ANOVA.

Q2 

When analyzing public health data, describe the steps you would take to determine what statistical test to conduct. Discuss the impact of data type on test selection.

STUDY MATERIALS

Read Chapters 7-12 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL:http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

View the following tutorials from the SPSS Tutorials media.

1. One-Sample t-Test

2. Matched Pairs t-Test

3. Independent Samples t-Test

4. One-Way ANOVA

5. Two-Way ANOVA-Between Groups

URL:https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CHSS;CONHCP/1DF486B2-8C58-E811-B595-005056BDD6DE

View the following calculations in The Visual Learner: Statistics media.

1. Introduction to t-test

2. One Sample t-Test

3. Two Sample t-Test

4. One Way ANOVA

5. Effect Size One Way ANOVA

6. Two Way ANOVA

7. Effect Size Two Way ANOVA

URL: http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

Read “Changing the Face of Health Education via Health Interventions: Social Ecological Perspectives on New Media Technologies and Elementary Nutrition Education,” by Bissell, Baker, Pember, Zhang, and Yang, from Health Communication (2019).

URL: https://doi-org.lopes.idm.oclc.org/10.1080/10410236.2018.1507659

Read “Can a Community-Led Intervention Offering Social Support and Health Education Improve Maternal Health? A Repeated Measures Evaluation of the PACT Project Run in a Socially Deprived London Borough,” from Brown, Luderowski, Namusisi-Riley, Moore-Shelley, and Bolton, from International Journal of Environmental and Public Health (2020).

URL: https://search-proquest-com.lopes.idm.oclc.org/docview/2393647115?accountid=7374

Read “Choosing the Correct Statistical Test in SAS, STATA, SPSS and R,” by Leeper, from Choosing the Right Statistic, located on the UCLA Institute for Digital Research and Education Statistical Consulting website.

URL: https://stats.idre.ucla.edu/other/mult-pkg/whatstat/

Read “Variables Associated With Job Satisfaction Among Mental Health Professionals,” by Fleur, Grenier, Bamvita, and Farand, from PLoS ONE (2018).

URL: https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/docview/2122532147?accountid=7374

Examine the general information about the “Youth Risk Behavior Surveillance System” survey, located on the Adolescent and School Health (2018) page of the Centers for Disease Control and Prevention (CDC) website.

URL: https://www.cdc.gov/healthyYouth/data/yrbs/index.htm

Review the documentation and questionnaires provided in “YRBSS Data and Documentation” (2018), located on the National YRBS Datasets and Documentation page on the Centers for Disease Control and Prevention (CDC) website.

URL: https://www.cdc.gov/healthyyouth/data/yrbs/data.htm

Read “2015 YRBS Data User’s Guide” (2016), located on the Adolescent and School Health page of the Centers for Disease Control and Prevention (CDC) website.

URL: https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2015/2015_yrbs-data-users_guide_smy_combined.pdf

Read the “2015 State and Local Youth Risk Behavior Survey” (YRBS), located on the Adolescent and School Health page of the Centers for Disease Control and Prevention (CDC) website.

URL: https://www.cdc.gov/healthyyouth/data/yrbs/questionnaires.htm

Utilize topics from the Loom Help Center website for assistance on installing Loom software and software usage.

URL: https://www.gcumedia.com/digital-resources/opentest-inc/2018/loom_1e.php

View “Conducting a t-Test and ANOVA in SPSS,” by GCU Academics – Nursing (2020). Use this resource to assist you in completing the topic assignment.

URL: https://www.gcumedia.com/lms-resources/student-success-center/?mediaElement=6616F929-5B03-EB11-9111-005056BDE9D6

MODULE 6

Q1

Given the limited amount of statistical calculations required by some public health positions, explain why it is important for you to know how to utilize appropriate software to analyze public health data. Support your ideas with reasons, facts, and examples.

Q2

Discuss three strengths of the linear regression? Identify a peer-reviewed study that uses linear regression in its analysis. Explain why linear regression was used and discuss one challenge in interpreting the results. Include the permalink with your citation.

STUDY MATERIALS

Read Chapter 14 and 16 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL: http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

View the Linear Correlation tutorial in the SPSS Tutorials media.

URL: https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CHSS;CONHCP/1DF486B2-8C58-E811-B595-005056BDD6DE

View the calculations for “Linear Regression” in The Visual Learner: Statistics media.

URL: http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

Read “How to Control Confounding Effects by Statistical Analysis,” by Pourhoseingholi, Baghestani, and Vahedi, from Gastroenterology and Hepatology From Bed to Bench (2012).

URL: https://www-ncbi-nlm-nih-gov.lopes.idm.oclc.org/pmc/articles/PMC4017459/

Read “Variables Associated With Job Satisfaction Among Mental Health Professionals,” by Fleury, Grenier, Bamvita and Farand, from PLoS ONE (2018).

URL: https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/docview/2122532147?accountid=7374

MODULE 7

Q1

Describe three methods for qualitative data collection and discuss an example of when each method would be used.

Q2

Describe the process of coding qualitative data. Identify the distinguishing factors between inductive and deductive coding.

STUDY MATERIALS

Read “Comparison Between Qualitative Research and Quantitative Research,” in Chapter 6 and read Chapter 8 in GCU Doctoral Research: Quantitative and Qualitative Research Concepts.

This textbook references an assigned dissertation. You are not required to complete a dissertation for this course.

URL: http://www.gcumedia.com/digital-resources/grand-canyon-university/2015/gcu-doctoral-research_quantitative-and-qualitative-research-concepts_ebook_1e.php

Read “A Review of Qualitative Data Analysis Practices in Health Education and Health Behavior Research,” by Raskind et al., from Health Education and Behavior (2019), available as authors manuscript from PubMed Central (PMC), located on the National Center for Biotechnology Information (NCBI) website.

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386595/pdf/nihms-990092.pdf.

Review “Quantitative and Qualitative Methods for Public Health,” from PH717 Module 1B – Descriptive Tools: Descriptive Epidemiology and Descriptive Statistics, located on the Boston University Medical Campus, School of Public Health website (2019).

URL: https://sphweb.bumc.bu.edu/otlt/MPH-Modules/PH717-QuantCore/PH717-Module1B-DescriptiveStudies_and_Statistics/PH717-Module1B-DescriptiveStudies_and_Statistics9.html

Read “Lessons Learned in Promoting Evidence-Based Public Health: Perspectives From Managers in State Public Health Departments,” by Allen et al., from Journal of Community Health (2018).

URL: https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/docview/2009849333?accountid=7374

Read “Section 15: Qualitative Methods to Assess Community Issues,” from “Chapter 3: Assessing Community Needs and Resources,” of the Community Assessment toolkit, located on the Community Tool Box website.

URL: https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and

Read “Focus Groups Inform a Mobile Health Intervention to Promote Adherence to a Mediterranean Diet and Engagement in Physical Activity Among People Living With HIV,” by Henry, Quintana, Moore, Garcia, and Montoya, from BMC Public Health (2019).

URL: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-6386-5

MODULE 8

Q1

Refer back to your response to Topic 1 DQ 1: “Statistics is an important component of public health. Explain the relevance of statistics in the planning, implementation and evaluation of a health promotion intervention. How do you envision using statistics in your current or future career?” After completing the course, how has your vision changed regarding the role statistics will have in your current or future career?

Q2

Discuss an ethical challenge you might face as a researcher when collecting and analyzing data from human subjects. What is an IRB and why is it necessary?

STUDY MATERIALS

Review Chapter 16 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL:http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

View “Talk Nerdy to Me,” by Marshall (2012), located on the TED website.

URL: https://www.ted.com/talks/melissa_marshall_talk_nerdy_to_me

Read “Conducting High-Value Secondary Dataset Analysis: An Introductory Guide and Resources,” by Smith et al., from Journal of General Internal Medicine (2011).

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3138974/

Read “Successful Scientific Writing and Publishing: A Step-by-Step Approach,” By Iskander, Wolicki, Leeb, and Siegel, from Tools and Techniques (2018), located on the Centers for Disease Control and Prevention (CDC) website.

URL: https://www.cdc.gov/pcd/issues/2018/18_0085.htm

Read “The Belmont Report,” by the Department of Health, Education, and Welfare (1979), located on the U.S. Department of Health and Human Services (HHS) website.

URL: https://www.hhs.gov/ohrp/sites/default/files/the-belmont-report-508c_FINAL.pdf

Read “IRB FAQs” on the IRB Institutional Review Board, located on the Grand Canyon University website.

URL: https://cirt.gcu.edu/irb_documents/irbstudentresearchersfaqsdocx

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

2. Leadership and economic models

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

  

Case Studies, Chapter 21, Nursing Management of Labor and Birth at Risk

1. Laura is a 26-year-old G2P1 who had a cesarean delivery for fetal distress with her first pregnancy. Laura is now struggling with deciding between a repeat cesarean delivery or attempting a VBAC. (Learning Objective 9)

a. In order to ensure that Laura has the facts to assist her in her decision, explain the risks of a repeat cesarean deliver

b. Laura can’t understand why more women don’t want to try a VBAC delivery. Discuss the possible reasons for this.

c. Describe the management of care for a woman attempting a VBAC delivery.

Antepartum Case Studies 

As you provide answers to the questions in the following case studies below please refer to your Essentials of Maternity, Newborn, and Women’s Health Nursing textbook’s Chapter 19 and 20 to provide you with pertinent information in reference to these cases.

Each of the objectives listed in the following case studies are in reference to those found in the textbook chapters listed alongside the case studies heading.

Please use this document as your template and insert your responses after each question in a different color or font. 

Case Studies, Chapter 19, Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications

1. Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared. (Learning Objectives 1, 2, 4, and 5)

a. Why is Teresa’s pregnancy considered a high-risk pregnancy?

b. Discuss potential pregnancy-related complications for Teresa.

c. Discuss the potential risks to the babies.