53. 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 no medical 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 now OB) The most important trace mineral intake during pregnancy is zinc C) 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% protein OE) She should ingest at least 5000 U of vitamin A daily

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.

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…

Vanessa is a 32-year-old female who has been trying to conceive for 3 months. She tested positive with an at-home pregnancy test after missing her menstrual cycle last month. She has come into the clinic where you work to confirm her pregnancy and begin her prenatal care. She has many questions about the upcoming months. Imagine you are her nurse and help answer her questions.   “I’ve heard that women often throw up in the first few weeks of pregnancy, but I haven't felt nauseous at all. Does that mean something is wrong?”

Susan is a 42-year-old woman who just had her first child. During her pregnancy, she was diagnosed with preeclampsia. Her pregnancy was uneventful until 22 weeks when she was found to have proteinuria and swelling in the hands. By week 30, her blood pressure had increased to 150/100 mm Hg, and she was diagnosed with preeclampsia. Her lab results showed that her blood glucose levels were normal. Susan was normal weight prior to pregnancy. She considered herself a “meat and potatoes” eater who rarely consumed fruits and vegetables. She has lactose intolerance, and she avoids all dairy products and does not take calcium supplements. She drinks Coca-Cola and sweetened iced tea daily. She remembered to take her prenatal vitamin 1–2 times per week. After her diagnosis with preeclampsia, she restricted her food intake and greatly slowed down her weight gain. She gained a total of 18 pounds during her pregnancy. Her baby, weighing 5 pounds 2 ounces, was delivered by Cesarean section at week…