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- Case Study 1 Situation: T.S, 24 years old, had last menstrual period on March 2, 2018. She has not menstruated for the past 4 months and reports positive home pregnancy test. T.S. reports increased urination, morning nausea and fatigue. T.S. has 2 other children so this would be her third pregnancy. Upon examination, T.S. is also noted to have softening of the cervix and bluish discoloration of the cervix, vagina and perineum. 1- From this data can you be sure T.S. is pregnant? Describe which signs of pregnancy T.S. may be exhibiting and explain each. What data is required in order to be sure that T.S. is pregnant? What is T.S.'s estimated due date (EDD) or estimated date of confinement (EDC)? 5- Define the terms "gravida" and "para" and how would you refer to your client's obstetrical history? 2- 3- 4-Case Study: Mrs. Lopez is a 37-year-old primigravida woman who is pregnant with twins. She is very overweight for her height. She was in good health until she reached gestational week 22, when she began to complain of headaches and swollen feet and ankles. Does Mrs. Lopez have any of the common risk factors for hypertension? If yes, what are they? Answer: Does she have any of the clinical features of hypertension? If yes, what are they and what is the underlying cause? Answer: What complications could affect Mrs. Lopez baby if she has untreated hypertension? Answer: What action should you take in Mrs. Lopez case and why? AnswerCase Study: o When Mary returns for a postpartal checkup. you notice red streaks on both legs along the course of her veins, and she has pain on dorsiflexion of her foot. You are concerned that she is developing thrombophlebitis. o Describe a plan of care that could have reduced this risk during labor and in the immediate postpartal period
- Description A-45-year-old woman presents complaining of fatigue, 30 pounds of weight gain despite dieting, constipation, and menorrhagia. On physical examination, the thyroid is not palpable: the skin is cool, dry, and rough: the heart sounds are quiet; and the pulse rate is 50 bpm. The rectal and pelvic examinations show no abnormalities, and the stool is negative for occult blood. The clinical findings suggest hypothyroidism. Questions A. What other features of the history should be elicited? What other findings should be sought on physical examination? B. What is the pathogenesis of this patient's symptoms? C. What laboratory tests should be ordered, and what results should be anticipated? D. What are the possible causes of this patient's condition? Which is most likely? E. What other conditions may be associated with this disorder?b. Compute for the following: 1.000 EDC bedid 2. AOG (salfnabling barmavile 2. A pregnant woman came to the hospital with complaints of labor pain and profuse vagina bleeding. Upon admission, in acquiring her OB Score, She told the nurse that she has delivered 8 female babies. Her last menstrual period is September 28, 2022 and her checkup date is December 3, 2022. a. Obtain the OB Score b. Compute for the following: 1. EDC 2. AOG 3. A pregnant woman came to the hospital with complaints of labor pain and profuse vagina bleeding. Upon admission, in acquiring her OB Score, She told the nurse that its her third pregnancy and has history of abortion 2 times. Her last menstrual period is January 7, 2022 and her check up date is November 4, 2022. a. Obtain the OB Score b. Compute for the following: 1. EDC 2. AOG erigilasus-onivolicl ar as lo i 10 lutegu tom sl niew 26 Aven Doy ob teleb 4. A pregnant woman came to the hospital with complaints of labor pain and vaginal bleeding. Upon…Case Study:5. A 23-year old woman has experienced recent onset of a spontaneous, bilaterial breast discharge and gradual cessation of menses. She reports normal growth and development and has never been pregnant.?Questions:1) What conditions could be causing her symptoms?2) What medical conditions (other than a prolactinom are associated with hyperprolactinemia?3) Which medications raise prolactin?no references, just homework.
- CASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting apregnancy over the past 16 months with no success. Patient reports that several times she thought she could bepregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis:1. What specific parts of the female reproductive system is affected in this case? 2. What…E. Fetal Circulation Select the structures described by the statements below. ductus arteriosus ductus venosus foramen ovale umbilical arteries umbilical vein 1. Opening between the atria. 2. Extensions of the hypogastric arteries. 3. Brings oxygenated blood to the fetus. 4. Connects the pulmonary artery with the aorta. 5. Carry fetal blood to the placenta. 6. Becomes the ligamentum venosum after birth. 7. Becomes the round ligament after birth. 8. Becomes the ligamentum arteriosum after birth. 1. 2. 3. 4. 5. 6. 7 8. Blood Vessels, Fetal Circulation, and Lymphatic System 313CASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting a pregnancy over the past 16 months with no success. Patient reports that several times she thought she could be pregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis 1. Explain briefly the terminologies/statements in the case (bold and underlined) 2. What…
- Case Scenario: Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10-minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were intact. Mrs. J.'s temperature, pulse, and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced. As the labor progresses, there will be some discomforts Mrs. J will experience. By accomplishing the table below, you will be able to anticipate these discomforts then may be able to apply measures to alleviate or assist Mrs. J to have a safe delivery. Stages of Labor Other…Case Scenario: Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10-minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were still intact. Mrs. J.'s temperature, pulse, and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced. By accomplishing the table below, you will be able to determine the progress of labor of Mrs. J. Give a short and concise description of each stage of labor using the attached table. Stages of Labor Other Name Description Duration 1st Stage Latent Phase Active…A. Application: Answer the following questions based on the data presented in graphs or illustrations. Use the previous knowledge on the reproductive system as your basis. Preeclampsia is a condition that can develop in a woman after 20 weeks of pregnancy. It involves the development of hypertension or high blood pressure, an abnormal amount of 1. Preeclampsia Risk in Pregnancy Risk Factors Risk Ratio First pregnancy Mother over 40 years of age Family history of preeclampsia Chronic hypertension 3:1 protein in urine, and swelling. 3:1 Based on the information, which statement does not agree 5:1 with the data in the table? 10:1 A. A pregnant woman with chronic hypertension is at greater risk of developing preeclampsia than a pregnant woman with chronic kidney failure. В. Chronic kidney disease 20:1 Diabetes mellitus 2:1 Twin birth 4:1 A pregnant woman having her first baby is at greater risk of developing preeclampsia than a pregnant woman with diabetes mellitus failure. C. A pregnant…