Respiratory Insufficiency in Pregnant Patient Case Discussion

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Consider what you learned from the video, your readings on motivational interviewing, and other content that has been discussed in this course. For your initial post, choose one of the three presented scenarios and answer the following questions: 

Video link: https://www.youtube.com/watch?v=V2yXX7M8egw

Questions

• As an APRN, how could you positively affect the health of the woman in the scenario you chose?
• What would be the pros and cons of utilizing the technique of motivational interviewing with the woman in the scenario?
• Practice the motivational interviewing techniques you have read about over the previous few weeks with a coworker, family member, or friend. What was this experience like? Do you see benefits to becoming more comfortable with this technique? Why or why not?

Scenarios:

• Scenario 1: A 34-year-old female who is 36 weeks pregnant – G2P1AB0 – presents to your office complaining of shortness of breath and ankle swelling. She states she has had “the flu” for several days and is insistent that is why she can’t stop coughing. She is obviously short of breath when talking. In reviewing her chart, you can see she has a history of hypertension. She states she “officially” stopped her blood pressure medications when she found out she was pregnant but admits that she rarely took her pills anyway, so “no big deal.”
• Scenario 2: Sumar has just found out she is pregnant and presents to the local free clinic. She is a 26-year-old G2P0AB1, and her first OB appointment is in two weeks. Sumar thinks she is about 12 to 14 weeks pregnant. She has come to the clinic complaining of indigestion. You notice the strong smell of cigarette smoke, and she admits she smokes one pack of cigarettes a day but states she is smoking less now since she started vaping.
• Scenario 3: You are seeing a 19-year-old female for STI screening. When reviewing her health and sexual history to determine her risk, she indicates she has had several new partners over the past six months and that she has not been using condoms but does have an IUD. She has started smoking marijuana and has dabbled with some other prescription medications over the previous two months. She is worried about having contracted an STI because she has noticed some “cauliflower” type bumps “down there” and would like to be tested.