A.The types of health problems facing clients in the clinical setting (Women's Clinic) are sexual transmitted diseases, older women and pregnancy, ectopic pregnancy, noncompliance with hormone replacement therapy, endometriosis, and many others. These problems affect different ages of women and were from various racial backgrounds.
Sexually transmitted diseases are commonly spread through sexual contact. Sexually transmitted diseases are infectious and can be deadly (Lowdermilk 2000). Older women and pregnancy generally is thought to be an increased risk for problems for the mother and the baby. The mother is at increased risk for a low birth weight infant, premature birth, IUGR, and abruptio placentae (Lowdermilk 2000). Ectopic pregnancy is the implantation of the fertilized ovum outside of its normal place in the uterine cavity. Locations include the abdomen, uterine tubes, and ovaries. This is the leading cause of infertility and is responsible for 10% of all maternal mortality, and it is the leading pregnancy-related cause of first trimester maternal mortality (Lowdermilk 2000).
Noncompliance with estrogen replacement therapy can cause an increased risks for hot flashes, urogenital tissues become dry, accelerated bone loss, cardiovascular risks increase, and an increase in mood swings and irritability (Lowdermilk 2000). Endometriosis is characterized by the presence and growth of endometrial tissue outside of the uterus (Lowdermilk 2000).
D. A client who was diagnosed with an ectopic pregnancy was very distraught and confused related to her care. She had an ectopic pregnancy a year previously. She wanted to know whether or not she would ever conceive and if so could she get the tube that is causing her to have ectopic pregnancies removed. The nurse allowed the client's mother to come in the room to better understanding of the situation. The nurse allowed the clients to express their fears and ask questions. The nurse also allowed the...