N3262 Academic Paper Outline (25% of total grade) Due: End of Week 4, Saturday November 19th at 23:59hr (Submit via Brightspace) Objective For students to use their critical thinking to assess, analyze and manage a postpartum problem using their knowledge, skills, and evidenced-based guidelines to support their practice. Resources Perinatal Services BC Practice Guidelines http://www.perinatalservicesbc.ca/ BC and federal government websites, BC Women’s website, peer reviewed articles Scenario History Jane (she/her/hers) is a 12-year-old female with mild intellectual disabilities (mild decrease in her mental functioning, difficulty expressing herself verbally, needs help to take care of herself physically, and needs help with her social skills). Jane’s mother discovered Jane’s abdomen was distended and took her to the family doctor. A urine pregnancy test was positive. Janes abdomen palpated at approximately 32 weeks gestation. The father of the baby is unknown. Jane and her parents were referred to the obstetrical group at BC Women’s Hospital. The health care team consists of an obstetrician, pediatrician, anesthesiologist, registered nurses, and child life specialist. All antenatal testing was completed and was normal. Janes ultrasound indicated a single baby with normal growth parameters for a 32-week pregnancy. The baby’s internal organs were normal. Jane is only 12 years old and does not have the maturity to make decisions on her own. A referral was made for a social worker. A birth plan was created. The medical team and Janes parents decided Jane would not need any medical intervention unless it was warranted. Labor and delivery Jane arrived at the labor and delivery (L&D) unit at 38 weeks’ gestation in spontaneous, active labor. She was accompanied by her parents. Her father stayed outside of the delivery room. Jane was scared and did not understand why she was experiencing pain. Jane was given an epidural. The L&D nurse, child life specialist, obstetrician, and mother supported Jane throughout her labor. Her pain was well managed with an epidural. Jane had a normal spontaneous vaginal delivery (SVD) with no complications. There was a small first-degree perineal tear that did not require suturing. Third Stage of Labor Jane was given 10iu of oxytocin I.M. in her left thigh. The third stage of labor was actively managed, the placenta and membranes were delivered complete by controlled cord traction. The cord had three blood vessels. Blood loss was approximately 600mLs. Jane was given an IV 1000mL of Normal Saline (with 10iu of oxytocin in the bag) to reduce the risk of further blood loss. Newborn Jane gave birth to a live, female, APGARS 61, 85, 910 , weight 2990g. The baby was assessed to have nasal flaring and was grunting and had a reduced oxygen saturation. The baby was transferred to the neonatal intensive care unit (NICU) for observation for 36hrs. Jane was seen by the lactation consultant (LC) as the plan was for her to exclusively breastfeed. The LC supported her with pumping and early feeding for her baby. Criteria Discuss specific issues Jane might face in the six-week postpartum period (puerperium). Consider Jane’s situation using the following headings below. You must complete headings 1 to 4. You can then choose 1 subject from headings 5 to 7. Mandatory (4): 1. Postpartum factors (think holistically e.g., physical, mental, emotional and spiritual well-being) up to six-weeks postpartum 2. Contraception (e.g., What would be a good choice for Jane? Why?) 3. What would be the process if the baby was given up for adoption (e.g., who can make this decision?). 4. External supports (e.g., social worker, babysitter, community supports) Optional (1): 5. Family stigma/social barriers 6. Financial supports/entitlements (think of federal, provincial, and other) 7. Legal implications of Jane becoming pregnant at such a young age Process Written as an academic paper using APA 7th Edition. Maximum 12 pages. Use 12 font. Submission Submit your assignment by the due date into a Bright Space Drop Box called: Critical Thinking Paper (and include your full name in the saved document). N3262 RUBRIC for PAPER Information 55% Excellent 25 points (N/A) Paper has detailed information about relevant issues Rationale supports the information and issues being discussed Good 20 points Average 15 points Insufficient 10 points Paper has less detailed information and misses some important issues Insufficient rationale is provided for the issues being discussed Paper has very little information of relevance Paper lacks information and is often irrelevant Very little Rationale is rationale is insubstantial provided and is and/or lacking often insubstantial to the issues Follows Guidelines & Directions 15% Applicability of discussion is excellent Applicability of discussion is good Discussion is not always applicable to the subject Discussion is way off topic and not applicable to the subject Organization & Structure, APA 20% Organization and structure of the paper is excellent, and writing is very easy to follow. Organization and structure of the paper is good. Writing is a little unstructured and a little difficult to follow. Organization and structure of the paper is fair, a little disorganized, and unstructured. The writing is very difficult to follow. Organization and structure of the paper is lacking, and the writing does not often make sense. Paragraphs are Paragraphs are Paragraphs are Paragraphs are not all well Grammar and Punctuation 10 % very well organized, and transitions are well thought out. organized, and transitions are not always well thought out. disjointed, and lack transition of thoughts. APA citations and references are used appropriately and are accurate. References are accurate. APA citations and references are occasionally used inappropriately or inaccurately References have a few errors or omissions. APA citations and references are often inappropriately or inaccurately References have many errors or omissions. Paper contains an occasional grammatical, punctuation, and spelling error. Paper contains more than a few grammatical, punctuation and spelling errors Paper contains many grammatical, punctuation, and spelling errors. Language is clear & precise. Language lacks clarity. Sentences are consistently strong Sentences not always consistently strong. Language use is conversational. Sentences are consistently weak. not present, and there are no transitions of thoughts. APA citations and references are used inappropriately or inaccurately References are have inaccurate Rules of grammar usage and punctuation are not followed. Language is very muddled. Sentences have too many mistakes.
