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NURS 230 Antepartum Case Study
Ava, a 19-year-old, comes to the clinic after a missed period on August 19 and states that she
thinks she is pregnant because she had a positive at-home pregnancy test. Ava tells the nurse she
feels tired and nauseous in the mornings. These are two presumptive signs of pregnancy.
1. At-home pregnancy tests detect which of the following hormones in the urine?
a. Progesterone
b. Estrogen
c. Prolactin
d. Human chorionic gonadotropin (hCG)
The nurse reviews the presumptive and probable signs of pregnancy with Ava. What are some
presumptive signs?
No period or amenorrhea, nausea fatigue, back pain, food cravings and poor sleep
What are some probable signs?
Temperature change, cervical changes, abdominal changes and uterine changes
2. Positive signs of pregnancy include the following:
a. Ultrasound
b. Chadwick’s sign
c. Hegar’s sign
d. Fetal movement felt by the mother
e. Fetal movement felt by the examiner
After Ava’s pregnancy is confirmed with an hCG-positive urine test, an ultrasound is ordered to
visualize the fetal heart (FH). The FH can be seen beating and by the crown–rump length
measurement, the fetus is at 7 weeks’ gestation. That would coincide with Ava’s last menstrual
period (LMP), which was July 1. The nurse compliments Ava for seeking help after her first
missed period and not waiting. Now health care and education are able to begin early and often
to ensure a good pregnancy outcome.
3. Using Naegel’s rule, Ava’s baby is due on:
a. March 8
b. May 8
c. April 1
d. April 8
This study source was downloaded by 100000866399126 from CourseHero.com on 05-07-2023 15:01:07 GMT -05:00
https://www.coursehero.com/file/179016845/NURS-230-Antepartum-Case-Studydocx/
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During Ava’s first prenatal visit, an assessment is performed and plans are made. Select all the
appropriate components of a first prenatal visit.
A. Blood drawn for type and Rh
B. Amniocentesis
C. Venereal Disease Research Laboratory (VDRL) test
D. Dietary history
E. Nonstress test (NST)
Also, during the first prenatal visit, the nurse documents Ava’s complete health status and does a
physical assessment and weight check, records vital signs, and teaches Ava about caring for
herself and the baby. Ava’s blood type is O−. Her Venereal Disease Research Laboratory
(VDRL) test is negative, and her Rubella titer is positive; therefore, she is negative for syphilis
and she is immune to German measles (Rubella) and will not need the vaccine.
It is clear Ava needs more information about immunizations when she states:
A. “I know I should receive an influenza vaccine this winter.”
B. “I am glad I am immune to German measles; I would hate to have it again.”
C. “I will get the rubella vaccine so my baby is protected against mumps.”
D. “I understand that varicella is a live vaccine so I cannot receive it.
Social History:
Ava lives with her mother and two younger brothers. Ava has a high school education and works
full time in retail. She is a licensed driver and has health insurance. She is involved with the
baby’s father but has no plans, at this point in time, to move in with him or to get married. She
states her mother is upset about the pregnancy but will be supportive. Ava’s mother works full
time. Ava’s house has electricity, plumbing, and a refrigerator. She has her own room and plans
to keep the baby in her room on the second floor.
Safety issues that should be discussed with Ava include:
A. Fire safety
B. Proper refrigeration
C. Well-water sterilization
D. Infant sleeping safety
E. Safe childcare options
This study source was downloaded by 100000866399126 from CourseHero.com on 05-07-2023 15:01:07 GMT -05:00
https://www.coursehero.com/file/179016845/NURS-230-Antepartum-Case-Studydocx/
NURS 230 Antepartum Case Study
Ava, a 19-year-old, comes to the clinic after a missed period on August 19 and states that she
thinks she is pregnant because she had a positive at-home pregnancy test. Ava tells the nurse she
feels tired and nauseous in the mornings. These are two presumptive signs of pregnancy.
1. At-home pregnancy tests detect which of the following hormones in the urine?
a. Progesterone
b. Estrogen
c. Prolactin
d. Human chorionic gonadotropin (hCG)
The nurse reviews the presumptive and probable signs of pregnancy with Ava. What are some
presumptive signs?
No period or amenorrhea, nausea fatigue, back pain, food cravings and poor sleep
What are some probable signs?
Temperature change, cervical changes, abdominal changes and uterine changes
2. Positive signs of pregnancy include the following:
a. Ultrasound
b. Chadwick’s sign
c. Hegar’s sign
d. Fetal movement felt by the mother
e. Fetal movement felt by the examiner
After Ava’s pregnancy is confirmed with an hCG-positive urine test, an ultrasound is ordered to
visualize the fetal heart (FH). The FH can be seen beating and by the crown–rump length
measurement, the fetus is at 7 weeks’ gestation. That would coincide with Ava’s last menstrual
period (LMP), which was July 1. The nurse compliments Ava for seeking help after her first
missed period and not waiting. Now health care and education are able to begin early and often
to ensure a good pregnancy outcome.
3. Using Naegel’s rule, Ava’s baby is due on:
a. March 8
b. May 8
c. April 1
d. April 8
This study source was downloaded by 100000866399126 from CourseHero.com on 05-07-2023 15:01:07 GMT -05:00
https://www.coursehero.com/file/179016845/NURS-230-Antepartum-Case-Studydocx/
, 2
During Ava’s first prenatal visit, an assessment is performed and plans are made. Select all the
appropriate components of a first prenatal visit.
A. Blood drawn for type and Rh
B. Amniocentesis
C. Venereal Disease Research Laboratory (VDRL) test
D. Dietary history
E. Nonstress test (NST)
Also, during the first prenatal visit, the nurse documents Ava’s complete health status and does a
physical assessment and weight check, records vital signs, and teaches Ava about caring for
herself and the baby. Ava’s blood type is O−. Her Venereal Disease Research Laboratory
(VDRL) test is negative, and her Rubella titer is positive; therefore, she is negative for syphilis
and she is immune to German measles (Rubella) and will not need the vaccine.
It is clear Ava needs more information about immunizations when she states:
A. “I know I should receive an influenza vaccine this winter.”
B. “I am glad I am immune to German measles; I would hate to have it again.”
C. “I will get the rubella vaccine so my baby is protected against mumps.”
D. “I understand that varicella is a live vaccine so I cannot receive it.
Social History:
Ava lives with her mother and two younger brothers. Ava has a high school education and works
full time in retail. She is a licensed driver and has health insurance. She is involved with the
baby’s father but has no plans, at this point in time, to move in with him or to get married. She
states her mother is upset about the pregnancy but will be supportive. Ava’s mother works full
time. Ava’s house has electricity, plumbing, and a refrigerator. She has her own room and plans
to keep the baby in her room on the second floor.
Safety issues that should be discussed with Ava include:
A. Fire safety
B. Proper refrigeration
C. Well-water sterilization
D. Infant sleeping safety
E. Safe childcare options
This study source was downloaded by 100000866399126 from CourseHero.com on 05-07-2023 15:01:07 GMT -05:00
https://www.coursehero.com/file/179016845/NURS-230-Antepartum-Case-Studydocx/
