14. A 16-year-old high school student comes to the office because she thinks she is pregnant. A urine pregnancy test is positive and pelvic examination confirms an 8-week gestation. She has nomedical problems and takes no medications, but she admits that her diet is poor. She does not smoke cigarettes. She is 157 cm (5 ft 2 in) tall and weighs 54 kg (120 lb). Hematocrit is 36%.She asks you what she can do to remain healthy during the pregnancy. Regarding nutrition during pregnancy, the patient should be advised of which of the following?A) If she feels she is overweight, it would be prudent to try to lose weight nowB) The most important trace mineral intake during pregnancy is zincC) She should aim for a total weight gain of 11 kg (25 lb) to 16 kg (35 lb)D) She should eat a diet composed of 35% carbohydrates, 45% fat, and 20% proteinE) She should ingest at least 5000 U of vitamin A daily

Pregnancy is a status. The series of changes takes place in the tissue and cells of the women body…

Answered: 14. A 16-year-old high school student…

Case Studies In Health Information Management

3rd Edition

ISBN:9781337676908

Author:SCHNERING

Publisher:SCHNERING

Chapter1: Data Content, Structure, And Standards

Section: Chapter Questions

Problem 1.14.1C

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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.
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.
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 leg
Samira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. If Samira still wishes to become pregnant, which treatment option may decrease her symptoms while allowing fertilization and implantation of an ovum? Progestin therapy Depo-Provera Estrogen-Progesterone patch Conservative surgery
Samira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. List and describe 3 lifestyle or at-home treatments that may help Samira reduce her symptoms.
Samira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. Samira’s physician is concerned that she may have endometriosis. Briefly explain the pathophysiology of this condition.
Samira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. Which of Samira’s symptoms is most likely NOT related to endometriosis? Craving salty food Diarrhea Dysmenorrhea Bloating
Samira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. Why would Samira’s dysmenorrhea symptoms decrease when taking birth control pill
What is hCG? Why is it used to check for pregnancy? Is it a cause for concern if a male patient shows positive in a pregnancy test? Discuss your answer
Harmony, a 33 year- old G1 P0 comes into see the nurse. Harmony is 29 weeks pregnant and she had only one previous prenatal visit at 18 weeks. She has declined vaccines and most blood work, so her rubella status, blood type, HIV status are unknown Harmony has failed to keep previous appointments which were scheduled at 22 weeks and 26 weeks. Harmony states that she has not been taking iron preparations nor her folic acid supplement as prescribed. She lives with her boyfriend outside of town on 2 acres and they raise chickens. Harmony shared that she treated her morning sickness with herbs from her garden. Identify outcome criteria that would be used for this patient?
Harmony, a 33 year- old G1 P0 comes into see the nurse. Harmony is 29 weeks pregnant and she had only one previous prenatal visit at 18 weeks. She has declined vaccines and most blood work, so her rubella status, blood type, HIV status are unknown Harmony has failed to keep previous appointments which were scheduled at 22 weeks and 26 weeks. Harmony states that she has not been taking iron preparations nor her folic acid supplement as prescribed. She lives with her boyfriend outside of town on 2 acres and they raise chickens. Harmony shared that she treated her morning sickness with herbs from her garden. How would you ask the questions while maintaining a non-judgmental attitude and respect for the patient preference?
Harmony, a 33 year- old G1 P0 comes into see the nurse. Harmony is 29 weeks pregnant and she had only one previous prenatal visit at 18 weeks. She has declined vaccines and most blood work, so her rubella status, blood type, HIV status are unknown Harmony has failed to keep previous appointments which were scheduled at 22 weeks and 26 weeks. Harmony states that she has not been taking iron preparations nor her folic acid supplement as prescribed. She lives with her boyfriend outside of town on 2 acres and they raise chickens. Harmony shared that she treated her morning sickness with herbs from her garden. What assessment questions does the RN need to ask the client?

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