Situation: T.S, 24 years old, had last menstrual period on March 2, 2018. She has not menstruated for the past 4 months and reports positive home pregnancy test. T.S. reports increased urination, morning nausea and fatigue. T.S. has 2 other children so this would be her third pregnancy. Upon examination, T.S. is also noted to have softening of the cervix and bluish discoloration of the cervix, vagina and perineum. 1- From this data can you be sure T.S. is pregnant? 2- Describe which signs of pregnancy T.S. may be exhibiting and explain each. 3- What data is required in order to be sure that T.S. is pregnant? 4- What is T.S.'s estimated due date (EDD) or estimated date of confinement (EDC)? 5- Define the terms "gravida" and "para" and how would you refer to your client's obstetrical history?
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- Case Study #3 Pationt History "A week before perlod starts, I experience lower abdominal pain that radiates into the lower back and both legs. I have been trying to get pregnant for the past two years with no suCcess. Modical History T.R. Is 29 years old white female who is at the OB/Gyn office. She has painful Ireqular perlods that start a week before menstruation starts. The menstrual tlow is heavy (need to change pads every 2 hours) with clots. She explained that she has been trying to get pregnant for the past Physical Exam Abdomen Exam 兼 LLQ and RLO palpation: Tenderness Female exam No tears, swelling of vaginal canal Normal cervical mucous, cervix of normal length, and no obstruction to cervical opening No signs of infection internally/externally of vagina and labia Questions 1 Research: What is the most common cause of chronic pehvic pain and infertility in women of reproductive-age? How frequent is this disease? 2 Is this disease eatropen dependent? What tissue is. stimulated…Case ScenarioA 22-year-old woman, gravida 2, para 1, presents at the maternity clinic for a prenatal visit. She is unsure of her due date and states that her last menstrual period was about seven or eight months ago. She had one prenatal check-up in the community health center, although she does not have any records from her physician or nurse-midwife. She reports that she has had an uncomplicated pregnancy so far and that earlier ultrasonography indicated that she is going to have a girl. Her medical history is unremarkable aside from a full-term cesarean delivery performed in the government hospital four years ago because of “complete breech presentation.” She is not taking any prenatal vitamins. On examination, her vital signs are unremarkable, her fundal height measures 27 cm, the fetal heart rate is 165 beats per minute, and the fetus is cephalic by Leopold’s maneuvers. 1. What is your insight on the patient’s case concerning her pregnancy? 2. How can you best minimize risks…Case Study:5. A 23-year old woman has experienced recent onset of a spontaneous, bilaterial breast discharge and gradual cessation of menses. She reports normal growth and development and has never been pregnant.?Questions:1) What conditions could be causing her symptoms?2) What medical conditions (other than a prolactinom are associated with hyperprolactinemia?3) Which medications raise prolactin?no references, just homework.
- Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. What is the diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly. Construct a nursing care plan addressing 3 of patient’s…Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. Construct a nursing care plan addressing 3 of patient’s problems.( actual and potential=3)Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. Construct a nursing care plan addressing 3 of patient’s problems.( 2 actual and 1 potential nursing diagnosis=3)
- Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. What is the diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly.Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. Construct a Nursing Care plan addressing 3 of patient’s problems.( 2 actual and 1 potential nursing diagnosis=3). Include 2 short term and long term goals,…Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. What is the nursing diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly.
- Patient K., 34 y/o, complains of excessive body weight, shortness of breath, disruption of the ovarian menstrual cycle, she has been ill since childhood. Family anamnesis is burdened by obesity on the mother’s side. Objectively: BMI – 35.8 kg/cubic meter, dysplastic obesity prevailing in the abdominal area, hypertrichosis. In the abdominal and groin areas there are multiple stretch marks from pearl to burgundy colour. Arterial pressure – 160/100, pulse – 96 beats/minute. What is the treatment for this condition?A. Dietotherapy, sibutramine (influencing the center of hunger and satiation), xenical (blocking GI lipases) B. DietotherapyC. Dietotherapy, thyroxine (thyroid medicines) D. Dietotherapy, furosemide (diuretic medicines)E. Dietotherapy, vitamin therapyP.T. is a married 30-year-old gravida 4 para 1203 at 28 weeks gestation. She arrives in the labor and delivery unit at a level 2 hospital complaining of low back pain and frequency of urination. She states that she feels occasional uterine cramping and believes that her membranes have not ruptured. 3. What actions would you take to help identify her underlying problem before calling the health care provider? 4. What other problems might be going on with P.T. that you should consider?Case Study: o When Mary returns for a postpartal checkup. you notice red streaks on both legs along the course of her veins, and she has pain on dorsiflexion of her foot. You are concerned that she is developing thrombophlebitis. o Describe a plan of care that could have reduced this risk during labor and in the immediate postpartal period