Question

Maria is a 17-year-old Hispanic girl from the Dominican Republic. Shepresents to the clinic with her...

Maria is a 17-year-old Hispanic girl from the Dominican Republic. Shepresents to the clinic with her mother. Her mother you know from previous visits. When the mother has brought in a child, Elia, who thismother has taken guardianship over because the father of this child has been deported back to the Dominican Republic.

At the point that you see Maria, Maria is here seeking guidance in relation to contraception. Now, Maria speaks very little English, in fact,almost none, as does her mother. When she presents to you, she is here, and you notice breast tenderness, and she reports urinaryfrequency.

1) In your mind, what would one potential diagnosis for Maria be at this point? Furthermore, what cultural assessment parameterswould you be looking for in relation to Maria and her family?

2) what cultural assessment parameters would you be looking for in relation to Maria and her family?

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Answer #1

Breast Tenderness and Urinary frequency may be she is in early stage of Pregnancy...
​1, Potential diagnosis for maria be at this point is:
​    -- Urine strips test for find out the pregnancy
​ -- Ultra Sonogram Lower abdomen
​2, Cultural Parameter Assessment:-
​ --Create an environment where the mother feels comfortable sharing belief's.
   --Gather information from mother regarding maria's environment communication.
​ --Enquire about her educational history and contraception Followup and it's regulation directly but in a sensitive manner.
​ --Get information infront of maria(Infact she speaks very little english)regarding communication between others in society.
   --Get opinion from her mother about pregnancy test is if it is positive what is their plan according to their dominican republic community...

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