Pam: A Nursing Case Study

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Case Study #2 – Pam This nursing case study will focus on Pam Jenkins. She is currently 30 weeks pregnant in her third pregnancy. Throughout the study, the amount of nutrients and vitamins Pam is currently consuming will be compared to what pregnancy requirements state they should be. Pam will also be evaluated on the amount of weight she has gained while pregnant, and risk factors that can affect her or the fetus.
Nutrient, Vitamin, Minerals, and Fluid Differences in Pregnancy The food eaten by Pam is not only used as a source of nutrients for her, but acts as a main source of nourishment for the fetus. It is important that she consumes foods rich in nutrients, minerals, and increase her consumption of fluids, as it influences fetal development
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A prenatal vitamin would cover any gaps in Pam’s diet where she is lacking certain minerals. One main mineral that is below recommendation in Pam’s diet, is calcium. The scholarly journal, Role of calcium during pregnancy: maternal and fetal needs, discusses the importance of dietary calcium during pregnancy by stating that, “consumption of inadequate amounts of dietary calcium, may place the mother at increased risk for gestational complications” (Hacker, Fung, & King, 2012). It is vital that Pam takes a prenatal vitamin to prevent any pregnancy complications from calcium deficiency. However, Pam did not take her recommended prenatal vitamin during the first trimester of her pregnancy, this is concerning because the first trimester of pregnancy is when nutrients and minerals are critical for fetal …show more content…
In order to eliminate this issue, health care providers must be culturally competent to provide effective care (Balaam et al., 2013). Mexican American pregnant women tend to culturally value modesty, specifically in health care and pregnancy needs. Due to this trait, it is important that Pam is provided a health care worker that is the same gender as her. This can play an important part in meeting Pam so that she feels more comfortable in sharing any discomforts or worries she is having about her or the fetus. Providing this information will result in the health care providers’ ability to give the best care needed to ensure Pam has a healthy and safe pregnancy. If she were to have a health care provider of the opposite gender she might feel shy and not want to share how her pregnancy is truly going, which would result in not receiving the most adequate care possible. Health care providers should also consider Pam’s want for support by other family members. With other children in the family the health care provider can educate Pam in ways that she can incorporate her children into the pregnancy, to increase the amount of support she is receiving. This will also help her children prepare for the new baby and develop new family roles (Edelman, Kudzma, & Mandle,

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