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of age. Mother’s Nipple pain began with the first breastfeeding.
Mother experienced moderate engorgement on postpartum day 4.
Following engorgement, her nipples began to crack. Nipples now
"seem to hurt all the time." Patient A reports that severe nipple pain
occurs with latch-on. Nipple cracks began bleeding bilaterally
yesterday. The infant vomited blood after this morning's feeding.
Father was present during the consultation and appears very
supportive. The couple did not attend breastfeeding classes prior to
delivery.
from the scenario?
situation?
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- Mrs. Vanessa Narcisoa 22 year old Gravida 1 who vaginally delivered her first infant The vaginal delivery was uncomplicatedhour after delivery, which of the following findings would the Nurse Marina expect in a patient who didn't have complications? Firm uterus; scant amount of lochia serosa Boggy uterus; heavy amount of lochia rubra with small clots Firm uterus; heavy amount of lochia rubra with small clots Boggy uterus; moderate amount of lochia serosaA 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy. Top of Form What is ectopic endometrial tissue?A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy. Compare the hormonal controls of the male reproductive cycle with the hormonal controls of the female reproductive cycle. How are they the same? How are they different?
- A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy. Top of Form 1a. What is this condition called? 1b. What causes it?A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy. Is surgical treatment an option, why? Why not?A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy. Top of Form What is the rationale for using danazol, a gonadotropin inhibitor?
- Mrs. AB, a 22 year old came to a Maternity Clinic for consultation, after she missed her last menstrual cycles. Her last menstrual period was on June 20, 2021. A home pregnancy test was tested positive. It was her third pregnancy. Her firstborn was a boy who was born at 39 weeks of gestation. She had an abortion at her 9th weeks on her second pregnancy and she experienced moderate to profuse vaginal bleeding during this period. On her present visit, she told you that she has an occasional dizziness and you noticed her pale looking. The doctor prescribed her Ferrous Sulfate with Folic Acid and OB Multivitamins to be taken once a day. Formulate two sets of nursing care plan for the scenario.Mrs. Aunor a 43-year-old G1PO comes into the Maternity Center for her routine OB visit at 38 weeks. She denies any problems since she was seen the week before She reports good fatal movement and dentes any leakage of fluid per vagina, vaginal bleeding or regular uterine contractions. She reports that sometimes she feels crampy at the end of the day when she gets home from work, but this discomfort is alleviated with getting off her feet. The fundal height measurement is 36 cm; it measured 37 cm the week before. Her cervical examination is 2 cm dilated. Which of the following is the most appropriate next step in the management of this patient? a. Instruct the patient to return to the center in 1 week for her next routine visit b. Send the patient for a sonogram to determine the amniotic fluid index c. Order the patient to undergo a nonstress test d. Do a ferm test in the office e. Admit the patient for induction caused by diagnosis of fetal growth legMake a Partograph in the following Case scenario Rose is a 25 year old G2 P1 on her 39th week of pregnancy. Rose came in the labor room at 8:00 am on active labor. Vital signs : BP- 120/ 85 , Pulse = 85, RR 25 Temperature = 37.2 C,. Fundic height = 37 cm. Nurse Mark had done the vaginal exam and showed 4 cm cervical dilatation. Fetal heart beat taken by Doppler was 156 beats / min. CTG was ordered and Rose was attached to the machine, Tracing showed several decelerations at each contraction, At 12 noon, Nurse Mark checked the vital signs and recorded the following : BP= 135/85, pulse 90 , RR = 25 Temperature 37.4 C, IE = 8 cm dilatation,. While Nurse Mark was preparing Rose for delivery, Dr. Ben the Obstetrician ,came and reminded the nurse to prepare standby 10 units of syntocinon to be incorporated in 500 ml of D5 LR post delivery. The Physician likewise ordered a standby 50 mg of Tramadol IM and this will be given after delivery. After 30 mins, Bag of water burst and a…
- Netty was 24 years old and lived with her husband and in-laws in a remote village. Herhusband was a day laborer and the family’s sole wage-earner. She had been marriedfor three years, and had suffered a stillbirth one year earlier. She had become pregnantagain, and her pregnancy was considered high-risk because she was physically smalland had anemia and pregnancy-induced hypertension. Netty had regular antenatal check-ups at the primary health center. Because of herhigh risk status and her previous stillbirth, the health officer was worried about her, andhe advised her to deliver at the district hospital. Netty did not think her husband wouldpay for this, however, and so she decided to deliver at home instead. A local privatedoctor attended her delivery, which was very painful and resulted in another stillbirth.After the birth Netty developed profuse bleeding, and she was brought to the primaryhealth center with a retained placenta. The medical officer managed to remove theplacenta,…Suggest other recommended practices during pregnancy for either mothers or their husbands to help pregnant women.A 50-year-old female who has born five children complains that she has noticed vaginal spotting of blood after intercourse for approximately the past 6 months. More recently, she has had a foul-smelling vaginal discharge and indicates that her left leg seems larger than her right one. She previously had syphilis. She has smoked one pack of cigarettes per day for 20 years. Examination of her back shows left flank tenderness. The circumferences of her left thigh and calf are larger than those of the right. Pelvic examination shows normal female external genitalia and a 3-cm growth on the surface on the left lip of the uterine cervix. ◆ What is the most likely diagnosis? ◆ What is the applied clinical anatomy for this condition?