| Course | NSG 222 Family Nursing |
|---|---|
| Unit | Unit 1 |
| Paper type | Prenatal risk history |
| Length | About 770 words, 5 pages |
| Format | APA 7 student paper |
| School | Herzing University |
| Program | BSN |
| Updated | October 2026 |
Free sample paper for NSG 222 Unit 1
First Prenatal Visit at Nearly 11 Weeks: A Structured Risk History for a 29-Year-Old With One Prior Cesarean, Treated Hypothyroidism, and Mild Asthma
Student Name
Department of Nursing, Herzing University
NSG 222: Family Nursing
Instructor Name
January 14, 2026
First Prenatal Visit at Nearly 11 Weeks: A Structured Risk History for a 29-Year-Old With One Prior Cesarean, Treated Hypothyroidism, and Mild Asthma
The Pregnancy as Dated
Composite patient, 29 years old, pharmacy technician. First day of last menstrual period: October 30, 2025, certain, with regular 28-day cycles. Estimated due date: August 6, 2026. Gestational age today, January 14, 2026: 10 weeks 6 days by dates, consistent with an ultrasound seven days ago that measured 9 weeks 6 days. Gravida 2, para 1 (term 1, preterm 0, abortions 0, living 1). Planned pregnancy; partner present for the history.
Previous Pregnancies and Outcomes
Pregnancy 1, three years ago: uncomplicated until 38 weeks, when the baby was found to be in breech position. Scheduled cesarean birth at 39 weeks; boy, 3,300 g, healthy, breastfed for eight months. She reports a "bikini cut" and a normal recovery. The type of incision on the uterus, which cannot be known from the skin scar, is not yet documented.
Risk flag: prior cesarean. She asks about a vaginal birth this time. Whether a trial of labor after cesarean is an option depends largely on the type of uterine incision, since a low transverse incision carries a low risk of uterine rupture in labor (American College of Obstetricians and Gynecologists [ACOG], 2019). Verify: request the operative report from the hospital where she delivered.
Medical Conditions and Treatment
Hypothyroidism, diagnosed at age 24, treated with levothyroxine, last thyroid test four months ago "normal" by her report. She has not changed her dose since the positive pregnancy test. Risk flag: thyroid hormone needs rise in early pregnancy, and treated women usually need a dose increase soon after pregnancy is confirmed, guided by thyroid tests (Alexander et al., 2017). Verify: thyroid tests today; report to the prescriber.
Asthma, mild and intermittent since childhood. Uses an albuterol inhaler about twice a month, more in spring. No hospital visits for asthma in ten years. Risk flag: low, but noted, since asthma can change in pregnancy.
No history of high blood pressure, diabetes, kidney disease, or clotting problems. Blood pressure today 112/70.
Surgical History
Cesarean birth, as above. Wisdom teeth removed at 19. No other surgery.
Medications and Allergies
Levothyroxine daily; albuterol as needed; a prenatal vitamin started six weeks ago. No herbal products. Allergy: sulfa antibiotics, which caused a widespread rash at age 12.
Family History, Both Sides
Her side: mother, 58, type 2 diabetes diagnosed at 50; father, 62, high blood pressure; one sister, healthy, two uncomplicated pregnancies. Her parents immigrated from Vietnam; her mother speaks mainly Vietnamese. Partner's side: mother, 60, hypothyroidism; father, deceased at 66 from a heart attack; no known birth defects or genetic conditions on either side. Risk flag: family history of type 2 diabetes in a first-degree relative, which adds to her risk of gestational diabetes; noted for the screening schedule.
Social Detail
Lives with her partner, a warehouse shift supervisor, and their son in a two-bedroom apartment. Her mother plans to stay with them for about a month after the birth. Works 32 hours a week, mostly standing. Does not smoke; no alcohol since the positive test; no other substances. Feels safe at home; answered the private screening question for intimate partner violence while her partner was out of the room, with no concerns. Health insurance through her employer.
Other Screening Questions Asked
Mental health: after her first birth she had two weeks of tearfulness that eased without treatment; no history of depression or anxiety needing care; no current low mood. Risk flag: a history of postpartum mood symptoms, even mild ones, is noted so that screening is repeated in pregnancy and after birth. Infections: no history of sexually transmitted infections; no recent travel; one cat at home, which her partner cleans up after. Vaccinations: influenza vaccine given in October; tetanus, diphtheria, and pertussis vaccine to be offered later in pregnancy per the clinic's schedule. Genetic screening: options were explained, and she is considering cell-free DNA screening; she will decide by the next visit. Dental: last visit a year ago; advised that dental care is safe in pregnancy. Each of these answers is recorded as given, including the ones that raised no concern, so that the next clinician does not have to ask again.
Summary of Flags
Three items shape this pregnancy's plan: the prior cesarean, pending the operative report, which decides whether labor is an option; treated hypothyroidism that needs a dose review now; and a family history of type 2 diabetes. Mild asthma is noted. The history follows the structure in the course text (Lowdermilk et al., 2020). The patient is a composite.
References
Alexander, E. K., Pearce, E. N., Brent, G. A., Brown, R. S., Chen, H., Dosiou, C., Grobman, W. A., Laurberg, P., Lazarus, J. H., Mandel, S. J., Peeters, R. P., & Sullivan, S. (2017). 2017 guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid, 27(3), 315-389. https://doi.org/10.1089/thy.2016.0457
American College of Obstetricians and Gynecologists. (2019). ACOG Practice Bulletin No. 205: Vaginal birth after cesarean delivery. Obstetrics & Gynecology, 133(2), e110-e127. https://doi.org/10.1097/AOG.0000000000003078
Lowdermilk, D. L., Perry, S. E., Cashion, K., Alden, K. R., & Olshansky, E. F. (2020). Maternity & women's health care (12th ed.). Elsevier.
NSG 222 Unit 1 instructions, in plain terms
Unit 1 asks you to record a structured prenatal history and identify risks. Expect to date the pregnancy, record obstetric history, medical and surgical history, medications, family and social history and screening questions, then summarize the flags that shape the plan. Many versions ask how detailed the family history should be and which screening questions to include. Check whether your section uses a specific form. Date the pregnancy from the last menstrual period and confirm with ultrasound. Obstetric history should include outcomes and complications for each pregnancy. Screening for depression, intimate partner violence and substance use belongs at the first visit. The summary should name only flags that change care, with the reason each matters.
Inside the NSG 222 Unit 1 example
The record opens with dating, showing how the due date was set. Previous pregnancies are described with outcomes, including the reason for the cesarean. Medical conditions list treatment and recent results. Medications include doses and the prenatal vitamin. Family history covers both sides with ages and conditions. Social detail describes housing, work and support. Screening questions record her answers, including postpartum tearfulness that eased. The summary names three flags and why each matters, such as the need for the operative report before planning a trial of labor. The structure follows a standard prenatal form, so each section is easy to find, and nothing in the summary appears without support earlier in the record.
Where the points sit in the NSG 222 Unit 1 rubric
Herzing's rubric for a prenatal history usually covers dating, obstetric history, medical and surgical history, medications, family and social history, screening and the summary of flags. The summary of flags draws the closest reading, because it shows which findings the student judged to matter and why. Dating points reward last menstrual period and ultrasound confirmation. Obstetric criteria look for outcomes and complications by pregnancy. Screening points go to depression, partner violence and substance use questions asked and recorded. Family history earns credit when both sides are covered. Medication doses should be recorded. A composite patient is expected. The history follows ACOG prenatal care guidance and the American Thyroid Association pregnancy guideline by Alexander and colleagues.
Common NSG 222 Unit 1 mistakes, and how to avoid them
Prenatal histories in Unit 1 often slip by listing findings without a summary of what changes care. Another frequent problem is incomplete obstetric history, such as a cesarean recorded without its reason or incision type. Students often skip screening questions, especially intimate partner safety. Family history covers one side only. Medication doses are missing. Dating is stated without method. Thyroid dosing changes in pregnancy are not flagged. Postpartum mood history is left out, though it predicts risk. The social section skips work hazards, such as chemical exposure for a pharmacy technician. Finally, explain why each flag matters, because graders reward a summary that links history to the plan rather than a list of everything asked.
Get a NSG 222 Unit 1 example written to your instructions
Send the Unit 1 instructions and the rubric from your NSG 222 classroom, along with the case or intake form the assignment supplies. We write a custom example that gathers history block by block, marks the risk-bearing entries where they sit, cites the classification behind every flag and says which patient each one concerns. First custom sample free, back in 24 to 48 hours.
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NSG 222 Unit 1 questions, answered
Which risk classification should the record use?
The one your course names, cited at the point you use it. Guidance on what counts as a risk factor is revised regularly and differs between professional bodies, so a flag with no source cannot be defended when your instructor checks it. If the scenario and your reading disagree about an item, record both positions and say which one the record followed.
How much social history does the record need?
As much as the assignment asks for, and more than a single line in most sections. Work, housing, transportation, support at home and anything the scenario says about exposure all belong, because the course treats the family as the unit being cared for. What is not wanted is speculation: record what the case states and mark what it leaves unknown.
Do I need numbers and dates in this record?
Only where the scenario supplies them, and always attributed. Gestational timing, laboratory intervals and screening schedules differ between sources and settings, so anything numeric should be checkable against the material your classroom gave you. Where you need a value the case does not provide, say it is missing and name what would settle it rather than filling the gap yourself.
Where can I find a free NSG 222 Unit 1 sample paper?
The full NSG 222 Unit 1 prenatal history is free on this page, every section from dating to the three flags. Your own patient's details can anchor a custom history.
What is included in a first prenatal visit history?
Pregnancy dating, past pregnancies and outcomes, medical and surgical history, medications and allergies, family and social history, and screening for depression, partner violence and substance use. This sample records each and names the flags that shape care.