Question

Coursepoint Plus Video Case: Community Case: Teen Maternal-Child Health

CASE INTRODUCTION

Violet Berry, a 16-year-old pregnant with her first child, and her boyfriend, Cory Peterson, make a visit to the school nurse’s office.

BRIEF SUMMARY OF CASE

Case Part 1 (text): Violet Berry is a 16-year-old Black female who is 28 weeks pregnant. She is gravida 1. She lives at home with her mother, grandmother, grandfather, and younger brother. Violet is in 10th grade at the local high school. She is 63 inches tall. Her prepregnancy weight was 110 pounds, and she currently weighs 118 pounds. She has generally been feeling well. The father of the baby, Cory Peterson, is also in 10th grade and tells Violet he wants to be a part of the life of her and the baby after the delivery. Violet went for her first visit to the prenatal clinic last week. She waited as long as she could because she did not want to tell her family that she was pregnant.

Current data reveal a reversal in the increase of teen pregnancy in the United States (Daley, 2012; www.cdc.gov); however, even with this lower rate, the United States continues to have the highest of teen birth rates of all industrialized nations. Most teens still report pregnancies as unintended. Early parenthood frequently influences the educational, developmental, social, mental health, and financial outcomes especially for the teen mother, but also for her child, family, and community. Additionally, teen pregnancy influences the rate of sexually transmitted infections among the teen population, which is among some of the highest.

Case Part 2 (video): Violet and her boyfriend, Cory, visit the school nurse to discuss her pregnancy. Violet is 28 weeks pregnant and is well supported by her boyfriend. In this scene, the school nurse discusses priorities for Violet during her pregnancy and commends her boyfriend for his support.

POST-CASE DISCUSSION GUIDE—QUESTIONS 1. What should the nurse include in prenatal teaching related to Violet’s low weight gain, low back pain, and prenatal care? 2. What should the nurse discuss with Violet on future visits? 3. What data related to teen pregnancy would be helpful to know? 4. What are two strategies for teen pregnancy prevention that you could apply in the community where you live? Who would you need to work with to introduce an evidence-based program where you live? 5. In anticipation of the delivery of Violet’s baby and her return to her home, what type of teaching should the nurse provide to Violet?

Answer 1

1,The low birth weight may affect baby it may cause congenital anomalies and the low heamoglobin causes neural tube defects so should eat nutritious rich caloric food with iron and follic acid suppliments.need to visit the doctor,should assess the blood sugar,hb frequently,the back pain is normal in the last trimester, the body alignment should keep for reduce body pain especially take rest.The teen pregnancy is affect the health status as well as the future of the girl because it adversly affetcs the future, inorder to prevent teenage pregnancy talk with their teens about sex,including encouraging them not to have sex ,encourage them to use contraceptive methods to prevent pregnancy use condoms to protecct aginst sexually transmitted diseases.encourage mentoring for the teens.