A 27-year-old patient is currently 26 weeks pregnant. She has a 3-year-old son who was born at 38 weeks and she had a miscarriage at 10 weeks. What is her GPTPAL?
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A 27-year-old patient is currently 26 weeks pregnant. She has a 3-year-old son who was born at 38 weeks and she had a miscarriage at 10 weeks. What is her GPTPAL?
- G3P2(1-0-1-1)
- G3P1 (0-0-1-1)
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- A 20-year-old patient is currently 10 weeks pregnant. She had a miscarriage at 13 weeks 1 year ago. What is her GPTPAL? GIP0 (0-0-1-0) G2P0 (0-0-1-0)An A+ male impregnates a woman who is unsure of her blood type. Which blood type would the mother have to be for the baby to be at risk of a hemolytic disease?Mrs. Xexy Lucero, G0, who is planning to become pregnant tells Nurse Sasha, "I am scared. My brother Zanjo, who was born 2 years after I was, died a month after he was born. My mother says that he had a very serious genetic defect. I don't know what to do." Which of the following responses are appropriate for Nurse Zasha to make? (Select all that apply). a. I Think your mother should make an appointment to meet with your obstetrician. I'm sure she knows a lot more about your brother's illness than she is telling you." b. There are a number of tests that can be performed during your pregnancy tO Screen the baby for genetic diseases." c. lt is almost impossible to figure out what happened way back then, but l'm sure everything will be fine with your baby." d. Do you think your mother would allow your brother's body to be unearthed so that it could be tested for the genetic disease? e. I will discuss your concerns with your Obstetrician. I am sure your doctor will refer you to agenetic…
- A client comes in for a 12 week prenatal visit. Weight gain at 12 weeks is 5 Kg, are there any concerns with this gain, and if so what are they? Question 47 options: a) No, this is her third child, so you expect more weight to be gained in the first trimester b) No, the client had a normal pre-pregnancy BMI, so there is no issue c) Yes, you suspect she may be carrying twins d) Yes, this could signal gestational diabetesWhich of the following pairings of genotypes is a concern for the health of the baby in regards to Rh factor? mom Rh-pos (++) and dad Rh-neg (--) mom Rh-neg (--) and dad Rh-pos (++) mom Rh-pos (+-) and dad Rh-pos (+-) mom Rh-neg (--) and dad Rh-neg (--)A woman whose blood type is A- is planning on starting a family with a B+ blood type man. Which of the following is the most accurate advice that you could give to this couple based on their blood types? They should be concerned about hemolytic disease of the newborn for all of their pregnancies . Since the woman is Rh-, she produces anti-Rh antibodies. Since the man is Rh+, the fetus in all pregnancies with this man will also be Rh+. This means that the mom?s anti-Rh antibodies will destroy fetal RBCs every time that the woman gets pregnant, thus producing a dangerous anemia to all the fetuses from all pregnancies with this man. They should be concerned about hemolytic disease of the newborn. However, problems related to this condition seldom develop during a first pregnancy, because very few fetal cells enter the maternal bloodstream then, and thus the mother?s immune system is not stimulated to produce anti-Rh antibodies. However if a future pregnancy with the…
- A woman who has blood type A, has a daughter who is type O Rh positive and a son who is type B Rh negative. Rh positive is a simple dominant trait over Rh negative. What are the possible genotypes or genotype for the son? What is the mother’s possible genotype? What is the father’s genotype?Theresa and John are thrilled to learn they are to be parents for the first time. Theresa goes in for her routine prenatal check-up and finds that her blood type is O-negative, but John has Rh-positive blood, so there is a chance that their child will be Rh-positive. For the following questions, assume that the fetus is Rh-positive. When will Theresa first be exposed to Rh antigens? Be specific. When will she produce anti-Rh antibodies? Be specific. Will her first child be affected by anti-Rh antibodies? Why or why not? If Theresa isn’t given an immunoglobulin shot (RhoGAM), can she and John safely have a second child? Why or why not? (Include HDN in your explanation). What is RhoGAM? How does it prevent Hemolytic Disease of the Newborn (HDN)?While blood type incompatibility is rarely a problem during pregnancy, Rh incompatibility can be. Rh incompatibility will occur only if the mother is Rh and the child is Rh*. Why? Why does problem posed by Rh incompatibility manifest itself on subsequent but not the first pregnancy involving an Rh* child? (i) (ii) Rhogam, the treatment for Rh incompatibility disease, needs to be administeredshortly after delivery in order to be effective. Why?
- A full-term male newborn has enlargement of head circumference (3 cm greater than 99% of age range). Body weight is appropriate for gestational age. The cranial sutures are separated. Ultrasonography of the head shows enlargement of the lateral ventricles and thinning of the cerebral cortex. The newborn's maternal uncle had similar abnormalities. Further anatomic studies are most likely to show which of the following? A) Absence of the foramina of Luschka B) Cerebellar astrocytoma C) Holoprosencephaly D) Neurofibromatosis E) Stenosis of the aqueduct of Sylvius F) Tuberous sclerosisA haemophilic man marries a normal homozygous woman. What is the probability that their daughter will be haemophilic?A man is brought to court in a paternity case. He has blood type AB, Rh positive. The mother has blood type B, Rh negative. The child’s blood type is O, Rh negative. What can you say about the man’s chances of being the father?