Isabella and Christopher are a young couple, ages 26 and 28, who have been married for two years and have not been using birth control for the past year. They are concerned and have come to the infertility clinic where you are working as a graduate nurse. You explain to them that infertility is not uncommon and occurs in 10– 15% of couples. During the extensive history of both partners, you review not only sexual history but also nutrition and exercise. discuss the menstrual cycle with them so they understand that the chance of conceiving is increased at the time of ovulation. Isabella’s cycle is 28– 30 days. The menstrual phase occurs on days 1 through 6 of the cycle.
what are the detrimental effects of the following substances that Isabella should avoid while pregnant? The substances are:
Alcohol
Marijuana
Cocaine:
Tobacco:
to generate a solution
a solution
- You are caring for a client in active labor. The client and her partner have expressed their desire for a natural birth and have declined medical interventions such as IV placement and continuous fetal monitoring. The client did consent to intermittent fetal monitoring. During the period of fetal monitoring, the RN notes repetitive late deceleration and fetal bradycardia of 90 BPM. The RN receives orders to initiate an IV Stat, and to prepare the client for an immediate cesarean section. The client declines to have the IV started and states she wants time to discuss the cesarean with her partner. Explain two nursing interventions that would comply with ethical and legal standards when caring for the client.arrow_forwardSome couples practice natural family planning (also known as the rhythm method of birth control), which involves abstaining from sexual intercourse during the time that a woman can become pregnant in her menstrual cycle. The egg only survives in the Fallopian tube for 24 hours after ovulation, so conception can only happen during a 24-hour period each month. However, this form of contraception is very unreliable and is not recommended for couples who are actively trying to avoid pregnancy. Which of the following is NOT a reason why this form of birth control is unreliable? Select one: a. Women always ovulate on the same day of their menstrual cycle every month. b. Ovulation can be affected by stress or illness. c. Sperm can survive in the Fallopian tubes for 3 to 5 days. d. It is difficult to predict exactly when in her cycle a woman ovulates.arrow_forwardDiego is a 55-year-old Hispanic, male, migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged. Discuss the potential disease processes and signs and symptoms related to the disease process that Jose may be exhibiting?arrow_forward
- Isabella and Christopher are a young couple, ages 26 and 28, who have been married for two years and have not been using birth control for the past year. They are concerned and have come to the infertility clinic where you are working as a graduate nurse. You explain to them that infertility is not uncommon and occurs in 10– 15% of couples. During the extensive history of both partners, you review not only sexual history but also nutrition and exercise. discuss the menstrual cycle with them so they understand that the chance of conceiving is increased at the time of ovulation. Isabella’s cycle is 28– 30 days. The menstrual phase occurs on days 1 through 6 of the cycle. Isabella is experiencing some signs and symptoms of pregnancy. Please discuss the pathophysiology of at least six common symptoms experienced in pregnancy as well as some interventions that she may do to prevent or minimize the symptoms. What symptoms of pregnancy and pathophysiology/interventions? what are two…arrow_forwardChoose 2 birth control options. Compare and contrast them (how are they similar and how are they different) in detail. Include one paragraph for similarities, one for differences, and one summarizing your findings, including considerations for use for people throughout their lifespan. You may cite your text for some information, but also include and cite information from a reputable website (such as plannedparenthood.org) or other scholarly source. Minimum length= 3 paragraphs.arrow_forwardYou're giving discharge instructions on postpartum day 2 to a G1P1 patient who delivered a healthy infant vaginally with no complications. Which statements below by the patient indicate a need for further teaching? Select all that apply. "I need to come back to the hospital if I soak a peripad in an hour." "I can use the lactational amenorrhea method of birth control since I'll be breastfeeding most of the time." "If I develop flu-like symptoms or a fever, I'll return to the hospital right away." "I'll see my provider next in 6 months for my regular Pap smear, and she'll make sure I healed well from having the baby at that appointment." "My husband is looking forward to resuming intercourse in the next few days, as soon as I don't feel sore any longer."arrow_forward
- 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.arrow_forwardYou are working in a physician’s office and completing a history and physical on a sixteen year old girl. The mother steps out of the exam room to use the bathroom. The patient ask you if you can do a pregnancy test because she was raped. Legally and ethically what should your next step be? Should you include the patient’s mother? Explain and support your answer.arrow_forwardConvert to SmartArt late with security updates, fixes and Improvements, choose Check for Updates. Picture Shapes Text Bax Arrange Quick Styles Briefly explain the various causes of female infertility. E Notes Comments Click to add notes tates) MAY PI 6,721 13arrow_forward
- Mina is a 35-year-old woman in a monogamous, long-term relationship. She and her partner have just located across the country. She’s been taking birth control pills for the last seven years, but her new doctor explains that it is time to switch to another method because of her age and family history of heart disease. Both she and her partner smoke. Her partner has a latex allergy. They both would prefer a more convenient method that allows more spontaneity. She looks at the patch, the vaginal ring, and Depo-Provera, but decides to use a copper IUD instead. Explain how the IUD is accomplishing a desire of the couple.arrow_forwardPA is a 36yo F who started oral contraception 8 months ago. Over the last few weeks she reports some nausea and a few days of spotting before her period. She also reports her period has been heavier than usual. She reports this has not happened on her previous forms of birth control. Which of the following would be the MOST appropriate adjustment to her contraceptive? Consider an increase in the estrogen content X b. Consider an decrease in the estrogen content Consider an increase in the progestin content d. Consider a decrease in the progestin content a. C.arrow_forwardA couple has come to the fertility clinic for a workup after 2 years of trying to become pregnant. The nurse taking their history knows which of the following are possible causes of their potential infertility? Select all that apply. 00000 The husband has hypertension and takes daily medication to treat his blood pressure. O The wife has a history of marathon running and has maintained a BMI of 21%. O They both drink four to six beers a night, with an increase in the amount on weekends with friends. The husband rides his bike to and from work daily, for a total of approximately 3 hours a day. The wife's luteal phase lasts 14 days.arrow_forward
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