Barbara is a 27-year-old woman who calls the women’s health clinic…

Barbara is a 27-year-old woman who calls the women’s health clinic and tells the nurse practitioner that
her menstrual period, which usually occurs regularly every 28 days, is 3 weeks late. She thinks she may
be pregnant because she and her husband of 4 years have been trying to have a baby for the past 6
months. An appointment is made with Barbara to determine if she is pregnant and to begin prenatal
care if she is. A pregnancy test confirms that Barbara is pregnant. Barbara discloses to the nurse that
her husband is losing his job in the next two weeks. Barbara is worried about medical care and food for
her family.

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QSEN Competencies to all three trimesters: Patient-Centered Care:
1. Patient teaching:
2. Adaptation to pregnancy
3. Maternal Adaptation
4. Initial Visit

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