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Isabella and Christopher are a young couple, ages 26 and 28, who have been married for two years and have not been using birth control for the past year. They are concerned and have come to the infertility clinic where you are working as a graduate nurse. You explain to them that infertility is not uncommon and occurs in 10– 15% of couples. During the extensive history of both partners, you review not only sexual history but also nutrition and exercise.
You need to discuss the menstrual cycle with them so they understand that the chance of conceiving increases during ovulation. Isabella’s cycle is 28– 30 days. The menstrual phase occurs in days 1 through 6 of the cycle.
what happens in the ovaries - what hormones are involved?
what happens in the uterus – what hormones are involved?
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- Would ISCI be an option? Why or why not? Jan, a 32-year-old woman, and her husband, Darryl, have been married for 7 years. They have attempted to have a baby on several occasions. Five years ago, they had a first-trimester miscarriage, followed by an ectopic pregnancy later the same year. Jan continued to see her OB/GYN physician for infertility problems but was very dissatisfied with the response. After four miscarriages, she went to see a fertility specialist, who diagnosed her with severe endometriosis and polycystic ovarian disease (detected by hormone studies). The infertility physician explained that these two conditions were hampering her ability to become pregnant and thus making her infertile. She referred Jan to a genetic counselor. At the appointment, the counselor explained to Jan that one form of endometriosis (MIM 131200) can be a genetic disorder, and that polycystic ovarian disease can also be a genetic disorder (MIM 184700) and is one of the most common reproductive disorders among women. The counselor recommended that a detailed family history of both Jan and Darryl would help establish whether Jans problems have a genetic component and whether any of her potential daughters would be at risk for one or both of these disorders. In the meantime, Jan is taking hormones, and she and Darryl are considering alternative modes of reproduction. Using the information in Figure 16.4, explain the reproductive options that are open to Jan and Darryl.Isabella and Christopher are a young couple, ages 26 and 28, who have been married for two years and have not been using birth control for the past year. They are concerned and have come to the infertility clinic where you are working as a graduate nurse. You explain to them that infertility is not uncommon and occurs in 10– 15% of couples. During the extensive history of both partners, you review not only sexual history but also nutrition and exercise. You need to discuss the menstrual cycle with them so they understand that the chance of conceiving is increased at the time of ovulation. Isabella’s cycle is 28– 30 days. The menstrual phase occurs in days 1 through 6 of the cycle.Isabella and Christopher are a young couple, ages 26 and 28, who have been married for two years and have not been using birth control for the past year. They are concerned and have come to the infertility clinic where you are working as a graduate nurse. You explain to them that infertility is not uncommon and occurs in 10– 15% of couples. During the extensive history of both partners, you review not only sexual history but also nutrition and exercise. discuss the menstrual cycle with them so they understand that the chance of conceiving is increased at the time of ovulation. Isabella’s cycle is 28– 30 days. The menstrual phase occurs on days 1 through 6 of the cycle. Isabella is experiencing some signs and symptoms of pregnancy. Please discuss the pathophysiology of at least six common symptoms experienced in pregnancy as well as some interventions that she may do to prevent or minimize the symptoms. What symptoms of pregnancy and pathophysiology/interventions? what are two…
- Isabella and Christopher are a young couple, ages 26 and 28, who have been married for two years and have not been using birth control for the past year. They are concerned and have come to the infertility clinic where you are working as a graduate nurse. You explain to them that infertility is not uncommon and occurs in 10– 15% of couples. During the extensive history of both partners, you review not only sexual history but also nutrition and exercise. discuss the menstrual cycle with them so they understand that the chance of conceiving is increased at the time of ovulation. Isabella’s cycle is 28– 30 days. The menstrual phase occurs on days 1 through 6 of the cycle. what are the detrimental effects of the following substances that Isabella should avoid while pregnant? The substances are: Alcohol Marijuana Cocaine: Tobacco:Isabella and Christopher are a young couple, ages 26 and 28, who have been married for two years and have not been using birth control for the past year. They are concerned and have come to the infertility clinic where you are working as a graduate nurse. You explain to them that infertility is not uncommon and occurs in 10– 15% of couples. During the extensive history of both partners, you review not only sexual history but also nutrition and exercise. Discuss the menstrual cycle with them so they understand that the chance of conceiving is increased at the time of ovulation. Isabella’s cycle is 28– 30 days. The menstrual phase occurs on days 1 through 6 of the cycle. What presumptive signs might Isabella describe that could indicate she is pregnant? What probable signs might her provider observe that could indicate she is pregnant? What positive signs indicate that she IS pregnant?A young couple has been trying to conceive for over a year and has been unsuccessful. They are now exploring their options and seeking fertility counseling. What are their options? How can the nurse assist this process? What are some potential nursing diagnoses in this situation?
- Write a nursing care plan for the following subfertile couple who are seeking fertility treatment. Mrs. and Mrs. Blottman visit a fertility clinic after not conceiving after a year of unprotected sex. The couple is in their late 30s. They tell the nurse they wanted to be established in their careers before raising a family, but now, they are starting to regret their decision. They also state that failing to conceive has been very stressful and has interfered with their lives and work. asapMr. and Mrs. Smith have arrived for their first fertility appointment after trying unsuccessfully to get pregnant for the past year. Mrs. Smith is withdrawn, her voice is monotone, and she becomes tearful when the nurse begins to take a health history. Mr. Smith hugs her and holds her hand, but Mrs. Smith doesn't seem to notice. What is the best nursing action to take at this time? O Get a box of tissues and encourage Mrs. Smith to discuss what she's feeling. O Ask Mr. Smith to leave the room and ask Mrs. Smith if she feels safe at home and how long she's been abused. O Tell Mrs. Smith she's being silly; the clinic will make everything better. O Continue taking the history; this is just part of the job.A couple has been trying to conceive for 5 years without success. They are extremely frustrated and have decided to try in vitro fertilization. What should they be aware of before starting? How can the nurse assist them in this process? What are some potential nursing diagnoses in this situation?
- You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows. Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits Medical history: Chronic hypertension (HTN) x 5 years; Allergies: Penicillin Social history: (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use Abusive partner…You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows. Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits Medical history: Chronic hypertension (HTN) x 5 years; Allergies: Penicillin Social history: (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use Abusive partner…You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows. Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits Medical history: Chronic hypertension (HTN) x 5 years; Allergies: Penicillin Social history: (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use Abusive partner…