A 25 year old presents to Labor and Delivery with complaints of  uterine cramping and lower back pain.  She denies any vaginal bleeding  at this time.  She has related a history of preterm birth at 32 weeks gestation with her last pregnancy.  The baby is 3 years old now and has no developmental issues.   Her current gestational age is 30 weeks. determine preterm

She is 0+ and all other lab values are normal.  NO noted STIs.

1.  Group B strep is missing from the labs – most often obtained at 35-37 weeks gestation.
2. Without this information,   it is often determined to treat the  patient anyway – presumptively to protect a premature baby from the  risk.
3. What other information would you like to ask her?
4. What nursing intervention will you provide?
5. What screening tests are often obtained to help determine her risk for preterm labor?
6. If it is determined she is in pre term labor what medications may you want to use with a providers order?
7. Please also give a dose, side effects, and possible results of the medication.

The patient is now 3 cm, 100% effaced, -2 station.  What is the plan  of care for the safety of this patient and her baby?  Fetal Heart rate is 160 with moderate variability.  Contractions are now mild and 15  minutes apart in frequency.

1.  Magnesium Sulfate is used to stop the contractions and this has been successful.
2. What is the dose you will start with, what is the maintenance dose?
3. Please indicate what nursing interventions are necessary for use with Magnesium Sulfate

This paper is to be 500 words minimum written in APA style with references.

Rubric:

1.  Student will discuss history questions that will be used for assessment  and screening tests along with group B strep and its treatment in  pregnancy .  Discuss how you would determine if the patient is in  preterm labor.

2.  Student will discuss nursing interventions for preterm labor and also  discuss what medications you may want to use with a provider including  dose, side effects and possible results of the medication. For example  Magnesium Sulfate or Terbutaline.

3.  References are included in text AND in the reference page AND the body of the paper is AT LEAST 500 words.

BACKGROUND: Health policy does not develop in a vacuum, but is created within a complex social, political, cultural, and economical environment. This assignment will examine this environment and its impact on policy development.

REQUIREMENTS:

For this assignment, after reading the background materials and doing additional research, write a 4- to 5-page paper that examines how politics and economic interests influence the development and direction of health policy and provide at least one historical example (other than the ACA). You must use the Gordon reading from the background materials as a primary source for this assignment.

SOURCES:

Gordon, C. (2003) The political economy of American health care: An overview, 1910-2000. In Dead on arrival: The politics of health care in twentieth-century America. (Chapter 1, pp. 12-45) Princeton, NJ: Princeton University Press. Available in the Trident Online Library.

Longest, B. B. (2016) Health and health policy. In Health policymaking in the United States. (Chapter 1, pp. 1-43) Chicago, IL: Health Administration Press. Available in the Trident Online Library.

Longest, B. B. (2016) The context of health policymaking. In Health policymaking in the United States. (Chapter 2, pp. 49-82) Chicago, IL: Health Administration Press. Available in the Trident Online Library.

Longest, B. B. (2016) The process of health policymaking. In Health policymaking in the United States. (Chapter 3, pp. 83-100) Chicago, IL: Health Administration Press. Available in the Trident Online Library.

Marketing Plan

MSN-prepared nurses must be prepared to market themselves to others so that the key characteristics and contributions of their expertise and the role are recognized and valued in the healthcare environment. The purpose of this assignment is to develop a marketing plan for your chosen advanced nursing practice role. As you prepare this marketing plan, develop this presentation as if you were explaining the advanced nursing practice role to a potential employer who may be unfamiliar with the role. You will educate your audience on the value you bring to the healthcare team. This assignment will be prepared as a 7-10 slide PowerPoint presentation meeting the following criteria.

Directions:

1. Examine the advanced nursing practice role for which you are being prepared (NP) and briefly describe the role including the history of the role, education and certification, and major functions of this role.
2. Create a marketing plan to support your value to the healthcare team. You will need to look at the literature beyond nursing. Address each of the 4Ps to market your advanced nursing practice role.
3. Investigate at least two of the Central and Core Competencies (i.e., Direct Clinical Practice, Guidance and Coaching, Consultation, Evidence-based Practice, Leadership, Collaboration, Ethical Decision Making) described in Hamric’s Integrative Model of Advanced Practice Nursing and how these competencies can influence and advance healthcare.

Your presentation must be presented in a single PowerPoint presentation. The presentation must be between 7 and 10 slides in length, not including the title and reference list slides. The presentation must use proper APA formatting as directed in the APA Publication Manual, 6th edition formatting, including title slide and reference list with properly formatted citations in the body of the presentation. You will record this as a voice-over PowerPoint. This must be at least 10 minutes in length.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th edition format.
• Please see the Writing Center located in the student portal for assistance with writing, APA, and online communication.
• For assistance with PowerPoint audio, please visit Microsoft Support

Assignment adjustment
Due to the coronavirus pandemic rather than face-to-face interviews you will interview your respondents online through Zoom, FaceTime, Skype, or another platform. Part of the assignment is to observe while interviewing; take note of the interview setting and interactions during the interview. You can still take note of verbal and nonverbal communication while conducting your interview online.

This assignment should take you the greater part of the term to complete since you will be incorporating practical applications, critical thinking skills and writing skills into a demonstration of your knowledge and understanding of some of the key concepts of sociology.

You will submit a formally written paper of 4-5 pages in length describing and analyzing the functioning of a family. You will study marital/family interaction by personally interviewing and observing the members of a specific family of your own choosing. This will not include your immediate family, however. You will develop a set of interview questions prior to the interview (minimum of 15 questions). Your interview questions will be worth 10 of the 60 points.

You can interview any type of family, including a nuclear family, single parent family, childfree couple, foster family, cohabitating couple, etc. You can interview anyone except your own family of orientation, meaning the family into which you were born, or your family of procreation, meaning the family a person forms by marrying or having or adopting children. In other words, you cannot interview your parents or your spouse/partner. You can interview anyone else, including your grandparents (unless they have raised you), your brother or sister’s family, or other family or friend’s family members.  Also, this assignment should be based on the respondents’ own family they created through marriage, partnering, and/or parenting.  For example, if you choose to interview your friend’s family, and if your friend doesn’t have their own family, you must interview the people who raised your friend, not your friend.  Contact me if you need clarification about this.

You will analyze the data that you collect using concepts covered in this course, including class discussion and text material. For each description of an event, offer an interpretation of the meaning of the event using various sociological concepts. At least fifteen course concepts from diverse sections of the textbook should be applied throughout the paper.

Do not write this paper in first person; in other words, do not refer to yourself in the context of the paper (do not say “I” or “my,” etc.). This paper should be completely objective; do not refer to your experiences and do not state your opinion in this paper.

Also, do not include your interview questions in the context of the paper. You are to include the list of your 15 interview questions as a separate page at the end of your paper (worth 10 of the 60 points total). I will see the answers to your questions as you write about the family you interviewed. For example, I do not want to see, “I asked the family who is primarily responsible for the household chores… and they said…” Instead you would say, “Mrs. Smith is primarily responsible for the household chores…”

Assure your respondents they are not required to provide their names in order for this assignment. In your paper, use fictional names for each family member. Additionally, assure them that you will not discuss their responses outside of your paper, which will solely be used to fulfill a course requirement. The Instructor is also bound by the same ethical obligation to maintain confidentiality of the identities of the respondents and the issues raised by your interviews.

Include:

• Explanation about the type of family interviewed (for example, traditional nuclear family, single parent family, stepfamily, etc.).
• Description and interpretation of setting and interactions. Observe while interviewing. As you are interviewing, also notice the setting and the nonverbal communication during the interview.
• Include factors such as gender, age, race, ethnicity, and social class, and how such statuses influence family dynamics.
• Include open- and close-ended questions. Respondents’ answers to open ended questions may raise additional information and questions for you.
• This project is considered an academic paper, therefore the explanations must be written in formal language (no slang, and limit contractions, such as can’t, don’t, won’t).
• Do not write this paper in first person; in other words, do not refer to yourself in the context of the paper. This paper should be completely objective. You are welcome to discuss your work in progress anytime prior to submission.

The following is the format in which the project will be organized:

• Completed papers should be 4-5 pages (not including your interview questions), typed in black ink, 12-point font, double-spaced, with 1” margins.  This paper must be written in a standard academic font (Times New Roman or Cambria).
• Pages must be numbered
• Introduce your paper with a sociological issue that is evident in this family. In other words, open with a central theme about this family (for example, a traditional family, single parent family, stepfamily, etc.)
• Conclude your paper with an overall explanation of the family’s functioning.
• Include your interview questions at the end of your paper, as a separate page.
• The body of your paper should include at least 10 course concepts. The main thing I am looking for is how well you apply and explain the various course concepts throughout the paper.
• You should apply SPECIFIC sociological terms and theoretical concepts, which should be typed in bold font or underlined. By the time this assignment is due you will have read many chapters. I expect that you will be able to section out specific examples of different sociological phenomena and label it appropriately. I also expect you to expand on explanations of each sociological concept. Explanations of course concepts must be in your own words.
• IMPORTANT: Answers must be completely in your own words.  Do not copy definitions from the textbook or other source to explain the course concepts.  Points will be deducted if explanations are copied from the textbook or other sources.
• Grammar, spelling, and format are important. Be sure to use your spell/grammar check and proof read your work.

Suggestion: It always helps to have a second pair of eyes view your work. You may want to have another person read your paper prior to turning it in. Excessive spelling/grammatical errors will result in a reduction of points.

• Late papers will not be accepted. No exceptions!
• Any deviations from this format will result in points being deducted from the assignment grade.
• Your grade will be determined by how successful you are in following the specified instructions, and especially in addressing and expanding upon each of the sociological concepts. Show me that you understand the course material.