Case Study

Case Study #1

John Doe

1. “I am worried about these bumps on my nipples and why are my breasts so tender?” Be sure to include teaching points concerning hygiene, and teaching on the hormones that affect breast changes during pregnancy.”

* I would inform the client not to worry about the bumps on her nipples they are known as “sebaceous glands” which have become enlarged due to changes in her hormones to prepare the body for lactation. Her breast will only continue to increase in size throughout her pregnancy so encouraging her to wear a properly fitted supportive bra will also be beneficial. The hormones involved in breast changes include estrogen and proestrogen which are also the cause of many other changes that will take place in the body throughout pregnancy. Its also important to inform the patient that yeast infections can happen on the breast so be sure to wash them with warm water and open them to air.

(Durham, R., & Chapman, L.)

2. “Look at this line on my abdomen; where did that come from and what is the brownish coloring on my face?” (Be sure to include the hormones that affect skin changes during pregnancy)”

* As the nurse I would offer Linda reassurance and let her know that the line on her stomach is called “linea negra” and the brownish pigmentation on her face is “cholasma” which are both normalcy of pregnancy and will disappear or fade in appearance afterwards. Skin changes are affected by the hormones estrogen, proestrogen, and adrenocorticosteroids (Durham, R., & Chapman, L.). I would suggest maintaing skin comfort with daily bathing, lotions, oatmeal baths, non binding clothing, limit sun exposure, and wear sunscreen.

3. “My Mom said she got stretch marks does that mean I will get them?” ( Include teaching points)”

* As the nurse I would reassure Linda that although she is at an increased risk for stretch marks due to the history of her mother, does not necessarily mean she will have...