Case Study

 Instructions: Read the following case study and answer the reflective questions. Please provide  rationales for your answers. Make sure to provide citations/references for your answers in APA  format. 

  CASE STUDY: Active Labor: Susan Wong Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture  of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein  levels at 16 weeks of pregnancy.  She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down  syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep  or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not  want this information. 

Reflective Questions

 1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs? 

2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views? 

3. With the influence of the recent Human Genome Project and the possibility of predicting open  spinal defects earlier in pregnancy, how will maternity care change in the future