You are caring for a 37-year-old female who is pregnant with her second child. The first pregnancy was traumatic as the woman experienced a pelvic fracture during delivery causing excruciating pain. The anxiety from this memory plagues her into this pregnancy. She has been managed on an anti-depressant/anti-anxiety. Her husband is a pharmacist and has attended most visits with the psychiatric-mental health NP for counseling and psychopharmaceutical drug management.

What would be your initial approach to assessment with this woman/family?

Would you prescribe an antidepressant? If so, why and which one? Explain the pharmacodynamics, pharmacokinetics, contraindications, pregnancy related issues, legal/ethical considerations, testing (if applicable), side effects and relationship to trimester.

What would be your overall plan of care? (Be succinct.) Consider supervision/collaboration/type of psychotherapy or complementary modality you might use.

Criteria for this paper:

Answer these questions succinctly but completely, integrating resources to provide rationale for all decisions.

Use APA formatting for all components of your paper.

You may use narrative, bullets, or a table format for various sections of this discussion assignment.

Your paper should be approximately two to three pages long (including a table if you create a table).

Your paper length should not include the reference page.

Use at least one nursing journal reference from CINAHL (available through the Regis library) to support your rationale.

nu665c__case_study_rubric_1 pregnancy_resources