work at a prenatal clinic. What would you say to a pregnant 14-year-old who says she wants to have many babies with her 15-year-old boyfriend? She is at her 20-week prenatal visit.
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- One of your best friends tells you that she and her husband think she might be pregnant. She feels she can wait until shes several months along before finding an obstetrician. You think she could use some medical advice sooner, and you suggest she discuss her plans with a physician as soon as possible. What kinds of health issues might you be concerned about?O $ 1. Kaneesha is 26 years old and her husband Marshall is 28. When Kaneesha becomes pregnant, she asks her obstetrician about prenatal tests, because a cousin had a child with Down syndrome at age of 27, and her two sisters have each had 2 miscarriages. She tells the doctor of this family history. This is her first pregnancy, although they have been trying for several years. 4 SEP 26 The doctor advises Kanesssha to have a maternal serum marker (blood) test, called "triple-test", instead of amniocentesis, because she is under age 35. The triple test is so-called because it measures levels of 3 substances (alpha-fetoprotein, human chorionic gonadotropin, and a form of estrogen). The doctor tells the couple that the test is only a 'screen', and can detect up to 60% of Down syndrome cases that are caused by and extra chromosome 21. Kaneesha gives birth to Nathaniel, who has Down syndrome, but his karyotype does NOT show a trisomy. Kaneesha and Marshall sue the obstetrician, on the…Ken Doll isn't very smart. He and Barbie are not trying to have a baby. Ken is confused about a few details and asked his friend GI Joe why Barbie became pregnant. "Look, we did the deed on Monday and she didn't ovulate until Thursday. I should have been safe and my 'little swimmers' should have been out of there by then." How should GI Joe explain the necessary information to Ken?
- Eve, 27, and Lamar, 33, are a young couple who have just gotten married. They both are heavy smokers. Eve had a miscarriage before marriage when they were using a cervical mucus method of natural planning. It’s important to her now not to become pregnant again for 2 years so she can finish a master’s degree in psychology. Lamar wants a contraceptive that when discontinued, will allow fertility to return immediately. He also wants a contraceptive that will prevent sexually transmitted diseases. 1. What contraceptive would you recommend as best for Eve? 2. Lamar has special requests. What contraceptive would best meet his needs? 3. Is it safe to use a contraceptive method for as long as 2 years? What if Eve has another miscarriage, making her over 30 by the time she’s pregnant for the third time?Write about the categories of Pregnancy (A, B and C)? Please write at your own words.write about healthy pregnancy exercise, diet and activities during pregnancy write 300 words
- Situation: Karen is a 30 year-old woman, 16 weeks pregnant, who comes for a first prenatal visit.She is conncerned because she did not realize she was pregnant until a week ago. Because of thhis she has been actively dieting (2 diet drinks plus one meal of vegetables daily) plus lifting weights at a health club. Karen wants her urine tested because “ I have to go alll the time”. She doesn't want any blood work done because Karen does not have any insurance. Karen has not had a pelvic examination since she was in senior high school, when she had a vaginal infection. Karen is single, lives by herself in one-bedroom. She is working at a laundry shop and her boyfriend is a salesman, out of town 5 days a week. Karen had her menarche at the age of 11; menstrual cycle every 28 days, 6 days duration with moderate flow and mild cramps. Past history positive for sinusitis and appendectomy at age 12 years. Smokes about ½ pack of cigarettes per day (“more when I’m stressed at work”); denies…Situation: Karen is a 30 year-old woman, 16 weeks pregnant, who comes for a first prenatal visit.She is conncerned because she did not realize she was pregnant until a week ago. Because of thhis she has been actively dieting (2 diet drinks plus one meal of vegetables daily) plus lifting weights at a health club. Karen wants her urine tested because “ I have to go alll the time”. She doesn't want any blood work done because Karen does not have any insurance. Karen has not had a pelvic examination since she was in senior high school, when she had a vaginal infection. Karen is single, lives by herself in one-bedroom. She is working at a laundry shop and her boyfriend is a salesman, out of town 5 days a week. Karen had her menarche at the age of 11; menstrual cycle every 28 days, 6 days duration with moderate flow and mild cramps. Past history positive for sinusitis and appendectomy at age 12 years. Smokes about ½ pack of cigarettes per day (“more when I’m stressed at work”); denies…Situation: Karen is a 30 year-old woman, 16 weeks pregnant, who comes for a first prenatal visit.She is conncerned because she did not realize she was pregnant until a week ago. Because of thhis she has been actively dieting (2 diet drinks plus one meal of vegetables daily) plus lifting weights at a health club. Karen wants her urine tested because “ I have to go alll the time”. She doesn't want any blood work done because Karen does not have any insurance. Karen has not had a pelvic examination since she was in senior high school, when she had a vaginal infection. Karen is single, lives by herself in one-bedroom. She is working at a laundry shop and her boyfriend is a salesman, out of town 5 days a week. Karen had her menarche at the age of 11; menstrual cycle every 28 days, 6 days duration with moderate flow and mild cramps. Past history positive for sinusitis and appendectomy at age 12 years. Smokes about ½ pack of cigarettes per day (“more when I’m stressed at work”); denies…
- Julie & her husband Tom have been trying to conceive a child. They have been unsuccessful. Julie discontinued her birth control (contained estrogen and progesterone) almost 7 months ago. Julies libido has been low lately. Julie scheduled an appointment with her gynecologist and told her of her irregular menstrual cycle. Julie quit her birth control almost 7 months ago and she has only had 2 periods during that time. Julies doctor ordered some labs to test her blood for estrogen and progesterone concentrations. When the results came back, the doctor noted low blood levels of both progesterone and estrogen. Julies doctor wants to find out what is causing the low levels of progesterone and estrogen. What additional blood hormone concentrations might be helpful to better understanding what could be causing Julies symptoms? Why would those be best?Discuss how taking oral contraceptive pills prevents pregnancy.Mr. and Mrs. Smith have arrived for their first fertility appointment after trying unsuccessfully to get pregnant for the past year. Mrs. Smith is withdrawn, her voice is monotone, and she becomes tearful when the nurse begins to take a health history. Mr. Smith hugs her and holds her hand, but Mrs. Smith doesn't seem to notice. What is the best nursing action to take at this time? O Get a box of tissues and encourage Mrs. Smith to discuss what she's feeling. O Ask Mr. Smith to leave the room and ask Mrs. Smith if she feels safe at home and how long she's been abused. O Tell Mrs. Smith she's being silly; the clinic will make everything better. O Continue taking the history; this is just part of the job.
