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- Patient’s Profile: A 22-year old woman in her 2nd pregnancy has arrived in the labour 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…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…Patient K., 34 y/o, complains of excessive body weight, shortness of breath, disruption of the ovarian menstrual cycle, she has been ill since childhood. Family anamnesis is burdened by obesity on the mother’s side. Objectively: BMI – 35.8 kg/cubic meter, dysplastic obesity prevailing in the abdominal area, hypertrichosis. In the abdominal and groin areas there are multiple stretch marks from pearl to burgundy colour. Arterial pressure – 160/100, pulse – 96 beats/minute. What is the treatment for this condition?A. Dietotherapy, sibutramine (influencing the center of hunger and satiation), xenical (blocking GI lipases) B. DietotherapyC. Dietotherapy, thyroxine (thyroid medicines) D. Dietotherapy, furosemide (diuretic medicines)E. Dietotherapy, vitamin therapy
- 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…ction Section 1: Hem 17 of 145. 17. A 50-year-old man is brought to the emergency department because of a 2-hour history of severe confusion and trel cs of conec the past year. He is otherwise healthy. Physical examination shows no abnormalities except for confusion. His serum gjuse concertation S intravenous infusion of glucose. A CT scan of the abdomen shows a 4-cm lesion in the head of the pancreas. Which of the bowing the d OA) Carcinoma of the head of the pancreas B) Islet a cell adenoma OC) Islet 3 cell adenoma OD) Islet o cell adenoma تھے E) Pancreatic tumor and abscessCase ScenarioA 22-year-old woman, gravida 2, para 1, presents at the maternity clinic for a prenatal visit. She is unsure of her due date and states that her last menstrual period was about seven or eight months ago. She had one prenatal check-up in the community health center, although she does not have any records from her physician or nurse-midwife. She reports that she has had an uncomplicated pregnancy so far and that earlier ultrasonography indicated that she is going to have a girl. Her medical history is unremarkable aside from a full-term cesarean delivery performed in the government hospital four years ago because of “complete breech presentation.” She is not taking any prenatal vitamins. On examination, her vital signs are unremarkable, her fundal height measures 27 cm, the fetal heart rate is 165 beats per minute, and the fetus is cephalic by Leopold’s maneuvers. 1. What is your insight on the patient’s case concerning her pregnancy? 2. How can you best minimize risks…
- State five Nursing diagnoses of a patient who is being prepared for total hysterectomy.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.Patient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenously
- P.T. is a married 30-year-old gravida 4 para 1203 at 28 weeks gestation. She arrives in the labor and delivery unit at a level 2 hospital complaining of low back pain and frequency of urination. She states that she feels occasional uterine cramping and believes that her membranes have not ruptured. 3. What actions would you take to help identify her underlying problem before calling the health care provider? 4. What other problems might be going on with P.T. that you should consider?Nursing care plan for imbalanced nutrition of newborn related to inability to acquire needed requirements as evidenced by bottle-feedingDescription 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?