Mrs. Zexy Lucero, 30 years old, G1P0, 6 weeks by LMP presents at the lying in clinic for prenatal check-up. History revealed a Type 1 diabetes since 14 years of age, history of diabetic nephropathy and proliferative retinopathy and is bothered about
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Mrs. Zexy Lucero, 30 years old, G1P0, 6 weeks by LMP presents at the lying in clinic for prenatal check-up. History revealed a Type 1 diabetes since 14 years of age, history of diabetic nephropathy and proliferative retinopathy and is bothered about the effects on her baby. Which of the following statements about diabetes in pregnancy needs further instructions? (SELECT ALL THAT APPLIES)
a. Diabetes ketoacidosis is a common complication during the first trimester.
b. Glycosylated hemoglobin levels are poor predictors of the risk of congenital malformations
c. Proteinuria over 300 mg/dL is associated with increased risk of preeclampsia.
d. The risk of fetal chromosomal abnormalities is increased.
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- 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?Please answer both questions. A 77-year-old postmenopausal woman presented at her GP for her yearly routine checkup. She has comorbid type 2 diabetes, gastroesophageal reflux disease (GORD) and hypertension. She also has a history of severe chronic lower-back pain. She has just received a diagnosis of osteoporosis and her GP wants to start her on therapy to reduce her fracture risk.Her laboratory results include a calcium level of 8.7 mg/mL (normal range 8.6 to 10.3 mg/dL), a 25-(OH) Vitamin D level of 9.2 ng/mL (normal range 25-80 ng/mL), parathyroid hormone (PTH) level of 24.8 pg/mL (normal range 10-55 pg/mL) and alkaline phosphatase level of 104 IU/L (normal range 38-126 IU/L).a) Discuss the laboratory results and outline possible causes for her osteoporosis.b) Which recommendations would you provide to manage her osteoporosis and reduce the risk of fractures?A female patient age approximately 23-25 years and her body weight is quite normal, BMI is also normal. She don't have any major health related problems. Recently she diagnosed with Poly cystic ovary syndrome (PCOS) and healthcare professionals prescribe her with this medication named Rosen 28 plus, i attached the image below. My question is, if she continue this medication for longer periods of time does any complications occurs? Or is there any problems or health related complications occurs if she continues with this medication for longer time? I will rate you positive if you accurately answer my question. Thank you.
- Presentation on type 2 diabetes 1 introduction and cause 2. Causes and diagnosis 3. Nursing intervention and conclusionsWomen’s Health Prescribing Case Ann is a 57 y/o female who presents today with c/o vaginal dryness and dyspareunia. She says that this has been an issue for the last 2 years or so, but it has gotten worse. She went through natural menopause at the age of 53—and did not take any oral estrogens—she said it was her preference not to, and that she really did not have any systemic signs/symptoms of menopause—just the vaginal dryness for the last 2 years or so. She says that she has used OTC products without benefit—and she uses Astroglide or some type of lubricant when she is sexually active with her husband—but it is still uncomfortable because she just thinks her tissue are so dry. Ann tells you that she usually does not have any itching or discharge but has in the last few days—which she attributes to a recent round of Amoxicillin for a tooth infection. So she thinks she may need something for that also—she has not used any OTC meds for the discharge. Ann is healthy—she takes…jessie comes to the medical office for pre lunch check. BG 210, lunch 59 g, ISF 1:60, Target BG 120, I:C 1:30. How much insulin should you administer?
- L.H. is a 26-year-old woman is in the clinic today for evaluation of weight gain and fatigue. She is 5 feet 6 inches and weighs 175 pounds. Prior to her pregnancy, she weighed 130 pounds and her maximum weight during pregnancy was 155 pounds. She is now 18 months postpartum and continuing to gain weight despite no change in diet or activity. She reports that the fatigue is getting worse even though her daughter is sleeping reliably through the night and the patient feels she is getting plenty of rest. She takes no other medications and has no significant medical history. Her vital signs today are HR 68, BP 108/60, RR 10, temperature 97° F Select a potential diagnosis for L.H. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain L.H.’s symptoms?Patient's Profile: A 22-year-old woman in her 2 pregnancy has arrived in the labor ward at 38 weeks 3 days She had a normal delivery 18 months ago. This pregnancy has been complicated by persistent vomiting until 20 weeks and more recently by anemia. She reports contractions commencing approximately 4 hours ago. She took paracetamol at home and tried to relieve the pain with a bath, but now she feels she cannot cope with the pain She had a show 2 days ago but has had no bleeding since then and has not noticed any vaginal leak. She has felt the baby moving normally all day. Physical Examination: BP is 110/58 mmHg, heart rate is 98/min. The presentation is cephalic with 2/5 palpable abdominally, Uterine contractions are palpable and the uterus is non-irritable. On vaginal examination the cervix is 5 cm dilated and the head is 1 cm above the ischial spines. The fetus is right occipitotransverse with mild caput and molding. The membranes are intact but rupture spontaneously during…A 27-year old woman of 35 wks gestation with gestational diabetes reports having headaches for the last day that will not go away. Discuss what questions you would ask the patient, and what further testing you would want to have performed.
- 29-year-old gestational diabetic female, full-term labor induction (G1P0) in the labor and delivery room. Shoulder dystocia is identified Identify and describe the importance of three specific resources the RN needs to care for the patient.Nurse Zasha is imparting instructions to Mrs. Zexy Lucero, 30 years old G1P0, with a history of cardiac disease concerning suitable dietary measures, Which statement. if made by Mrs. Zexy, indicates a need for further instructions provided by Nurse Zasha? (Select all that apply) “I should increase my sodium intake during pregnancy" “ I should maintain a low-calorie diet to prevent any weight gain." “I should drink adequate fluids and increase my intake of high-fiber foods. “ I should lower my blood volume by limiting my fluids"Mrs. Mardigrascia, G10 pregnant comes for prenatal consult in the martinez medical clinic. History reveals that she takes vitamin supplements because she is afraid of getting sick. The nurse counsel her to avoid taking which of the following? Vitamin E Folic acid Beta carotene Vitamin c Vitamin A