PLEASE READ THIS TWO STUDENT WEEK 9 DISCUSSION ASSIGNMENT AND RESPONSE TO EACH ONE SEPARATELY AND PUT TWO REFERENCES EACH . ZERO PLAGIARISM, REFERENCES LESS THAN FIVE YEARS, 7TH APA FORMAT

First Student

Prescribing for Pregnant Women (Insomnia)



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Insomnia disorder is a prevalent mental condition that affects many pregnant women. Kalmbach et al. (2022) reveal that 25 – 27% of pregnant women in the first two trimesters experience insomnia. Moreover, the study indicates that 40% of women in the final trimester of pregnancy have admitted insomnia symptoms (Kalmbach et al., 2022). The symptoms of insomnia disorder include the inability to fall asleep, waking up earlier than usual, and daytime fatigue. Health specialists diagnose patients with the condition if symptoms present themselves for three or more consecutive weeks. Pregnant women diagnosed with insomnia disorder risk preterm birth and postpartum depression.

            The Food and Drug Administration (FDA) agency enlists certain drugs that insomnia patients can use. Pregnant mothers must be protected from using pharmacological medicines that may adversely affect fetal development. Diazepams are depressants commonly prescribed for pregnant women, especially during the first two trimesters of pregnancy. The drug acts on the hypothalamus and thalamus parts of the central nervous system to sedate patients and reduces anxiety (Bittmann et al., 2019). Despite the everyday use of Diazepams, little is known about the extent of damage they could inflict. Its effectiveness in treating insomnia is determined by dosage. Prescription, therefore, needs to be regulated effectively.

            In the US, supplements are not categorized as drugs. Therefore, the FDA does not have the mandate to approve them. Melatonin is a naturally-produced hormone secreted in the pineal gland that promotes sleep by interacting with the hypothalamus and the retina (Savage et al., 2018). Low hormone levels in the human body cause sleeplessness because of irregular sleep-wake cycles. Melatonin supplements help prevent wake-promoting signals (Savage et al., 2018). Up to 10 milligrams of Melatonin are taken two hours before a pregnant woman goes to sleep. Despite not being FDA approved, the American Academy of Family Physicians (AAFP) considers Melatonin an effective drug in dealing with insomnia disorder.

            Acupuncture is a traditional Chinese medicine theory used to treat fatigue and insomnia. The procedure has also been termed safe and effective in treating back and pelvic aches daily in pregnant women. According to Foroughinia et al. (2020), acupuncture improves the serum concentration of the sleep-inducing hormone, Melatonin. Foroughinia et al. (2020) further note that pregnant women wit

Rubric Detail

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Content

Name: NRNP_6675_Week9_Discussion_Rubric

  Excellent

90%–100%

Good

80%–89%

Fair

70%–79%

Poor

0%–69%

Main Posting:

Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

Points:

Points Range:
40 (40%) – 44 (44%)

Thoroughly responds to the Discussion question(s)

Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources

No less than 75% of post has exceptional depth and breadth

Supported by at least three current credible sources

Feedback:

Points:

Points Range:
35 (35%) – 39 (39%)

Responds to most of the Discussion question(s)

Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module

50% of the post has exceptional depth and breadth

Supported by at least three credible references

Feedback:

Points:

Points Range:
31 (31%) – 34 (34%)

Responds to some of the Discussion question(s)

One to two criteria are not addressed or are superficially addressed

Is somewhat lacking reflection and critical analysis and synthesis

Somewhat represents knowledge gained from the course readings for the module

Post is supported by fewer than two credible references

Feedback:

Points:

Points Range:
0 (0%) – 30 (30%)

Does not respond to the Discussion question(s)

Lacks depth or superficially addresses criteria

Lacks reflection and critical analysis and synthesis

Does not represent knowledge gained from the course readings for the module

Contains only one or no credible references

Feedback:

Main Posting:

Writi

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Content

Name: NRNP_6675_Week9_Discussion_Rubric

  Excellent

90%–100%

Good

80%–89%

Fair

70%–79%

Poor

0%–69%

Main Posting:

Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

Points:

Points Range:
40 (40%) – 44 (44%)

Thoroughly responds to the Discussion question(s)

Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources

No less than 75% of post has exceptional depth and breadth

Supported by at least three current credible sources

Feedback:

Points:

Points Range:
35 (35%) – 39 (39%)

Responds to most of the Discussion question(s)

Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module

50% of the post has exceptional depth and breadth

Supported by at least three credible references

Feedback:

Points:

Points Range:
31 (31%) – 34 (34%)

Responds to some of the Discussion question(s)

One to two criteria are not addressed or are superficially addressed

Is somewhat lacking reflection and critical analysis and synthesis

Somewhat represents knowledge gained from the course readings for the module

Post is supported by fewer than two credible references

Feedback:

Points:

Points Range:
0 (0%) – 30 (30%)

Does not respond to the Discussion question(s)

Lacks depth or superficially addresses criteria

Lacks reflection and critical analysis and synthesis

Does not represent knowledge gained from the course readings for the module

Contains only one or no credible references

Feedback:

Main Posting:

Writi