Nursing Case Study In Nursing

A. Identification and Problem

Erica Howard is a 19-year-old African American female who dropped out of high school due to becoming pregnant with her first son, Eric. Erica’s boyfriend Jayce is supportive of her and the baby. Erica’s newborn is only 6 months old and she is surprised that she is pregnant again. She is now in her second trimester and has a lack of prenatal care. When she received her first ultrasound, at 14 weeks, she was concerned when she saw that the baby was almost fully developed. According to the doctor, she became pregnant only three months after her first delivery. When spoken with Erica she expressed that she was very ill with this pregnancy and the baby does not move at all. The doctor explained that the baby might be

This could be very detrimental to the health of her incoming baby. She has not been keeping up with her prenatal care she is at a greater risk of having preterm labor. Preterm labor is having a child before week 37 during the pregnancy. She has a history of maternal problems such as stroke, Diabetes Mellitus, and Hypertension. Although Erica’s boyfriend, Jayce, supports her, she has a lack of support from her immediate family. She appears not to have a close-knit to her two siblings. Who are 17 and 21 years old and are pregnant now as well. Even though she carried her first son to full term, he only weighed 4 pounds and 8 ounces. This concerns the high-risk

She complains that she is nauseated, vomiting and having headaches. When I completed the psychosocial assessment on her, she was very emotional. Her mother is 37 years old, and her two sisters are 17 years old and 21 years old. Although both her sisters are close in age with her she is not close to them as she feels she should be. Due to not having much support, she feels alone. Therefore, no one is really guiding her in the right direction. She wants better and realizes that she needs to do better when it pertains to her unborn.

D. Goal Setting and contract for work

One of Erica’s short-term goals is to stay on top of her appointments and deliver a healthy baby. In addition, when she delivers she may look for a part-time job. However, one of her long-term goals is to enroll into Jones Junior College and complete online classes to obtain her GED. Then, continue her education to make a better life for herself and her children. Her boyfriend and she are currently working on moving out of his mother’s house and into a new mobile home. I will continue to follow up with her every two weeks until she delivers.

E. Intervention