Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134580999
Author: Elaine N. Marieb, Katja N. Hoehn
Publisher: PEARSON
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Chapter 27, Problem 4CCS

23-Year-Old Female with Menstrual Irregularity

Jasmine Herrera, 23, has been referred to the endocrinology clinic. She is very overweight, with obvious acne and facial hair. She complains of irregular menstrual cycles. “My husband and I want to use the rhythm method," she says, “but I don’t have any rhythm!”

Chapter 27, Problem 4CCS, 23-Year-Old Female with Menstrual Irregularity Jasmine Herrera, 23, has been referred to the

4. Jasmine thinks that having so many follicles means she is extremely fertile. Is her assumption correct?

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Mrs. AB, a 22 year old came to a Maternity Clinic for consultation, after she missed her last menstrual cycles. Her last menstrual period was on June 20, 2021. A home pregnancy test was tested positive. It was her third pregnancy. Her firstborn was a boy who was born at 39 weeks of gestation. She had an abortion at her 9th weeks on her second pregnancy and she experienced moderate to profuse vaginal bleeding during this period. On her present visit, she told you that she has an occasional dizziness and you noticed her pale looking. The doctor prescribed her Ferrous Sulfate with Folic Acid and OB Multivitamins to be taken once a day. Formulate two sets of nursing care plan for the scenario.
Women’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…
Mrs. Aunor a 43-year-old G1PO comes into the Maternity Center for her routine OB visit at 38 weeks. She denies any problems since she was seen the week before She reports good fatal movement and dentes any leakage of fluid per vagina, vaginal bleeding or regular uterine contractions. She reports that sometimes she feels crampy at the end of the day when she gets home from work, but this discomfort is alleviated with getting off her feet. The fundal height measurement is 36 cm; it measured 37 cm the week before. Her cervical examination is 2 cm dilated. Which of the following is the most appropriate next step in the management of this patient? a. Instruct the patient to return to the center in 1 week for her next routine visit b. Send the patient for a sonogram to determine the amniotic fluid index c. Order the patient to undergo a nonstress test d. Do a ferm test in the office e. Admit the patient for induction caused by diagnosis of fetal growth leg
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