Class Name: Health Promotion: Prevention of Disease
(United States Nursing Undergraduate)
– As given by the Professor:
• Read the following case study and answer the reflective questions.
• Please provide rationales for your answers.
• Make sure to provide a citation for your answers.
• Do not make judgments or assumptions. You need to present unbiased solutions from a clinical perspective.
• Present at least 3 clear and concise solutions to each question.
Discussion paper must follow this format.
– APA format
– 2 pages, not including the cover and reference page.
– References no less than five years old (2016-2021).
– Articles must be based in the United States.
– All references used must be referenced in-text and in the correct 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?
