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Hi there I am an RPN back in school for Perinatal and have a question I would like some expertise on. A question that was posted for us below asks us for a nursing diagnosis. I have read and thought that maybe she is experiencing withdrawal and possibly an sti?? Any thoughts?? What outcomes would be expected?

a 32-year-old G2 P1 with a history of IV drug use and alcohol abuse, comes in for an antenatal visit to discuss complaints of sleepless nights, night sweats, and a yeast infection she can't get rid of.

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Specializes in OR, Nursing Professional Development.

Welcome to AN! You may want to head on over to the student section. Esme and GrnTea, two of our experienced posters, have many threads where they assist students with nursing care plans, and these threads are a wealth of knowledge. If you click on the magnifying glass at the top of the page, a search bar will open. Typing "nursing diagnosis" or "nursing care plan" along with those names, and you will find plenty of help.

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Specializes in Education, FP, LNC, Forensics, ED, OB.

Thread moved to Nursing Student Assistance forum.

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Her immune system is clearly compromised, and she is at risk for HIV d/t IV drug use. HIV testing should be offered, and I would also ask if she ever shares needles.

There could be other reasons, but this is my first instinct. Good luck!

P.S., for nursing Dx, I would go with risk-prone behavior & disturbed sleep pattern to start.

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An STI and withdrawal would be medical diagnoses, not nursing diagnosis. What you need to ask yourself is what is going on with this patient that you can help with. What might an IV drug user/alcoholic be at risk for in addition to an STI? She's pregnant, so what might be happening with the baby? Once yu figure out your diagnoses, you plan your interventions. What are you going to do for this patient?

Do you have nursing diagnosis book, such as NANDA? That would be a good place to start.

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Specializes in Nurse Leader specializing in Labor & Delivery.
An STI and withdrawal would be medical diagnoses, not nursing diagnosis. What you need to ask yourself is what is going on with this patient that you can help with.

Exactly. And this is the biggest mistake students make. You need to think like a nurse - she has disturbed sleep and night sweats. How might this affect her physical and mental health? How might this affect the pregnancy, or be affected by the pregnancy (or what comes AFTER the pregnancy, i.e. taking care of a newborn)?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Hi there I am an RPN back in school for Perinatal and have a question I would like some expertise on. A question that was posted for us below asks us for a nursing diagnosis. I have read and thought that maybe she is experiencing withdrawal and possibly an sti?? Any thoughts?? What outcomes would be expected?

a 32-year-old G2 P1 with a history of IV drug use and alcohol abuse, comes in for an antenatal visit to discuss complaints of sleepless nights, night sweats, and a yeast infection she can't get rid of.

If she is in for just a visit chances are they still using....if she was not an IV drug user what else of importance would you think of in a pregnant woman that may cause night sweats an a yeast infection she can't get rid of?

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