**Case Study: Nutritional Guidance for Pregnant Adolescents**A 16-year-old high school student visits the office because she suspects she is pregnant. A urine pregnancy test confirms her pregnancy, and a pelvic examination indicates she is at 8 weeks of gestational age. The patient has no underlying medical issues and is not on any medications, although she admits to having a poor diet. She does not smoke cigarettes. Her physical statistics include a height of 157 cm (5 feet 2 inches) and a weight of 54 kg (120 pounds). Her hematocrit level is at 36%.The patient seeks advice on maintaining health during her pregnancy. In discussing nutritional guidance during pregnancy, the following options are considered. Which should be advised?A) If she feels she is overweight, it would be prudent to try to lose weight now.B) The most important trace mineral intake during pregnancy is zinc.C) She should aim for a total weight gain of 11 kg (25 pounds) to 16 kg (35 pounds).D) She should eat a diet composed of 35% carbohydrates, 45% fat, and 20% protein.E) She should ingest at least 5000 IU of vitamin A daily.**Discussion:**- **Option A**: Weight loss during pregnancy is generally not recommended unless under specific medical guidance.- **Option B**: While zinc is important, it's not singled out as the most crucial trace mineral above all others. - **Option C**: A weight gain of 11 to 16 kg (25 to 35 pounds) is generally recommended for a healthy pregnancy weight gain.- **Option D**: The macronutrient distribution listed here is not standard for pregnancy; generally, a balanced diet is endorsed.- **Option E**: Vitamin A is important, but the dosage should be carefully monitored to avoid potential toxicity. The suggested amount might be too high and requires professional medical consultation.**Correct Guidance:****C) She should aim for a total weight gain of 11 kg (25 pounds) to 16 kg (35 pounds).**Maintaining a balanced diet that includes a variety of nutrients is essential for the health of both the mother and the developing baby. Pregnant individuals are encouraged to consult healthcare providers for personalized nutritional advice.

INTRODUCTION- Teen age pregnancy is risk factor of maternal mortality because the body of a teen…

Answered: 53. A 16-year-old high school student…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Hawa is a 26-year-old female patient with a history of infertility. She and her partner have been trying to conceive naturally for 2 years. Hawa started taking fertility medication 6 months ago to stimulate follicle development. At 21 years of age, she was diagnosed with pelvic inflammatory disease, which was treated with antibiotics. Her menstrual cycle has been unpredictable over the last 3 months, with sporadic light bleeding. During the last month, she has felt nauseous and experienced diarrhea. Yesterday, she had a sudden onset of abdominal and pelvic pain and heavy vaginal bleeding. She is concerned about the sudden change and sees her gynecologist the following day. Hawa’s gynecologist is concerned she may be experiencing an ectopic pregnancy. Briefly describe what this means, in your own words.
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 Why do you think oral contraceptives could also be used as a treatment?
Why should women consider collecting and freezing oocytes for use later in life when they want to have children? What are the risks to the baby associated with older women having children?
What birth defect is usually seen if the mother will have a decreased level of folic acid on the course of her pregnancy? Neural Tube Defect Spina Ganglia defect Abortion Low birth weight
81. A 23-year-old woman comes to the physician for a routine health maintenance examination. She says that she is sexually active and would like to use an oral contraceptive. She does not smoke cigarettes. Vital signs are within normal limits. Physical examination shows no abnormalities. A combination oral contraceptive is prescribed. Which of the following serum concentrations is most likely to increase in this patient as a result? A) Free thyroxine (FT¿) OB) Reverse triiodothyronine (rT 3) C) Thyroid peroxidase antibody D) Thyroid-stimulating hormone OE) Total triiodothyronine (T3)
Sarah experiences regular contractions during her 29th week of gestation. Which of the following is true of this situation? Multiple Choice Sarah should discontinue cigarette smoking. Sarah should be given Methergine to stop her uterine contractions. Sarah should be given terbutaline because it decreases the heart rates of the mother and the fetus. Sarah should be kept away from tocolytic drugs.
Situation: Karen is a 30 year-old woman, 16 weeks pregnant, who comes for a first prenatal visit.She is conncerned because she did not realize she was pregnant until a week ago. Because of thhis she has been actively dieting (2 diet drinks plus one meal of vegetables daily) plus lifting weights at a health club. Karen wants her urine tested because “ I have to go alll the time”. She doesn't want any blood work done because Karen does not have any insurance. Karen has not had a pelvic examination since she was in senior high school, when she had a vaginal infection. Karen is single, lives by herself in one-bedroom. She is working at a laundry shop and her boyfriend is a salesman, out of town 5 days a week. Karen had her menarche at the age of 11; menstrual cycle every 28 days, 6 days duration with moderate flow and mild cramps. Past history positive for sinusitis and appendectomy at age 12 years. Smokes about ½ pack of cigarettes per day (“more when I’m stressed at work”); denies…
Which recommendation seems most appropriate for Catarina during her pregnancy? 1. Catarina should maintain a healthy diet and appropriate exercise regimen, and avoid unnecessary exposure to environmental contaminants. She should also keep taking her current antidepressants. 2. Catarina should definitely address the issues of a healthy diet and environment as well as exercise, but her physician should also explore whether to change to another dose or type of antidepressant. 3. Catarina has already exposed her unborn baby to some risk factors, so she should stop taking the antidepressant and try to control her depression through cognitive-behavioral therapy. 4. Catarina should definitely clean up her diet, but she might as well stay on her medication. What's done is done, and the baby has already been exposed to antidepressants during critical periods. Defend After stating your decision, defend it. Explain why your decision is the best given the evidence, and explain why the evidence…
Answer all questions completely and IN YOUR OWN WORDS. All questions are answered already, explain why the answer is true or false in details.
A woman is pregnant for the third time and there is some concern for the safety of her fetus. Medical records indicating Rh factors in the family have been lost. For this reason, blood samples were taken from each child and from the mother. Determine the Rh factors for each to ensure the safety of the pregnancy.The mother is rh negative, how will her 3 children be?
Some expensive home pregnancy tests claim to detect hCG as early as 5 days after conception ( when hCG are barely there). With the knowledge of how pregnancy tests work, please describe how a pregnancy test manufacturer could create such ultra sensitive test? Please be very brief
Leslie, 17, mother of 2-week-old Milton, is a single mother who is new to your community. Milton's father left Leslie during her pregnancy while they were both in drug rehab, and she does not have any contact with her family. You are the support worker assigned to Leslie after a public health nurse reported that Leslie had troubles bathing and feeding Milton and adjusting to her new role as a mother. You are to report any concerns to your supervisor. Leslie is currently breastfeeding Milton. Milton weighed 3.6 kg (8 lb.) at birth and, according to his pediatrician, has grown and gained weight well. On the two last visits, Leslie seemed to have no trouble changing him, bathing him, or knowing when to bring him to his doctor for weekly visits. On your visit today, Leslie greets you at the door, carrying Milton in one arm and holding a cigarette in her other hand. She looks as if she has been crying. Milton is crying, wet, and obviously needs a diaper change. Leslie says that she thinks…

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