Patient: – Is a gravida 1 para 0 and was admitted to labor and delivery in active labor. Upon admission, the patient presented the nurse with her birth plan, indicating the desire for as few medical interventions or monitoring as possible. Focus on group B streptococcus risk factors and treatment. Focused assessment: heart, lungs, vital signs, Leopold maneuver, applying the toco and ultrasound transducer, review fetal heart strip. Focus on therapeutic communication with the birth plan and GBS protocol.
Medications: IV Normal Saline (NS), IVPB Penicillin, IV Lactated-Ringer (LR)
-Describe the potential benefits and risks associated with adhering to a birth plan that prioritizes minimal medical interventions or monitoring, as indicated by o Discuss the nursing considerations for supporting patients like Patient B in achieving their desired birth experience while ensuring maternal and fetal safety.
Discuss potential complications of GBS for a newborn
Sample solution
Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell.
In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.
God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.
Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.
To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.
References
Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.
Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.
Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.
Sample Answer
Sample Answer
Supporting a Patient’s Birth Plan with Group B Streptococcus (GBS) Considerations
Introduction
In the context of labor and delivery, every patient has unique preferences and concerns regarding their birth experience. For a gravida 1 para 0 patient who desires minimal medical interventions, it is essential for healthcare providers, particularly nurses, to balance these preferences with evidence-based practices, especially when risk factors such as Group B Streptococcus (GBS) are present. This essay discusses the potential benefits and risks of adhering to a birth plan that prioritizes minimal interventions, nursing considerations for supporting the patient while ensuring safety, and potential complications of GBS for newborns.
Benefits and Risks of Minimal Medical Interventions
Potential Benefits
1. Enhanced Maternal Satisfaction: Allowing the patient to have a birth experience aligned with her desires can lead to increased satisfaction and a sense of empowerment.
2. Reduced Interference: Minimizing interventions may facilitate a more natural labor process, potentially leading to shorter labor and fewer complications associated with invasive procedures.
3. Promoting Bonding: Less medical intervention can foster immediate skin-to-skin contact and early breastfeeding, enhancing maternal-infant bonding.
Potential Risks
1. Increased Risk of Complications: Minimal monitoring may overlook signs of fetal distress or maternal complications, potentially jeopardizing the safety of both mother and baby.
2. Inadequate Management of GBS: If the patient is GBS positive, avoiding recommended interventions (like antibiotic prophylaxis) can significantly increase the risk of neonatal GBS infection.
3. Limited Pain Control Options: A focus on minimal medical interventions may limit the options available for pain management during labor, potentially leading to an uncomfortable experience.
Nursing Considerations for Supporting the Patient
Therapeutic Communication
Effective communication is vital when supporting a patient with a birth plan. The nurse should:
1. Review the Birth Plan: Engage in a discussion about the patient’s birth plan, including her preferences and any specific concerns related to GBS.
2. Educate on Risks: Provide information about GBS, including its implications for the newborn and the importance of antibiotic prophylaxis if indicated. Explain that this intervention is aimed at protecting the infant.
3. Encourage Questions: Foster an open dialogue by encouraging the patient to ask questions and express her feelings about the proposed interventions.
Focused Assessments
Conduct regular assessments to ensure both maternal and fetal safety:
1. Vital Signs: Monitor maternal vital signs (temperature, blood pressure, heart rate) to identify potential complications early.
2. Fetal Heart Rate Monitoring: Apply the fetal heart rate monitor (toco and ultrasound transducer) and review the fetal heart strip for signs of distress or abnormal patterns.
3. Leopold Maneuvers: Use Leopold maneuvers to assess fetal position and presentation, which can inform labor management decisions.
4. Fluid Management: Administer IV Normal Saline or Lactated Ringer’s as indicated, ensuring proper hydration and preparing for potential antibiotic administration.
Antibiotic Protocol for GBS
If the patient is identified as GBS positive:
1. Administer IV Penicillin: Start IV Penicillin as per protocol to provide prophylactic treatment to prevent GBS transmission during delivery.
2. Monitor for Allergies: Assess the patient for any history of penicillin allergies before administration and monitor for any adverse reactions during administration.
Potential Complications of GBS for a Newborn
Group B Streptococcus can pose significant risks to newborns, including:
1. Early-Onset Sepsis: Newborns can develop sepsis within the first week of life due to GBS infection, leading to severe illness requiring intensive medical intervention.
2. Pneumonia: GBS can cause pneumonia in newborns, resulting in respiratory distress and increased morbidity.
3. Meningitis: In rare cases, GBS can lead to meningitis in newborns, causing neurological complications that may have long-term effects.
4. Stillbirth: If left untreated, GBS infection in the mother can contribute to stillbirth or preterm labor.
Conclusion
In conclusion, while supporting a patient’s desire for minimal medical interventions during labor is important for fostering autonomy and satisfaction, it is equally crucial to ensure maternal and fetal safety, especially in cases where Group B Streptococcus is a concern. Through effective therapeutic communication, diligent monitoring, and adherence to evidence-based protocols like antibiotic prophylaxis for GBS, nurses can help achieve a balance between respecting the patient’s birth plan and safeguarding both maternal and neonatal health. Ultimately, collaborative care that respects patient preferences while prioritizing safety can lead to positive outcomes for both mother and child.
