A 36-year-old gravida 4 para 3 patient presents at her first antenatal clinic visit. She does not know the date ofher last menstrual period. The patient says that she had hypertension in her last two pregnancies. Thesymphysis-fundus height measurement suggests a 32-week pregnancy. At her second visit, the report of theroutine cervical smear states that she has a low-grade cervical intra-epithelial lesion.1. Why is her past obstetric history important?2. How accurate is the symphysis-fundus height measurement in determining that the pregnancy is of32 weeks duration?3. Why would an ultrasound examination not be helpful in determining the gestational age?4. What should you do about the result of the cervical smear?

A1) Previous obstetric history is important because bad obstetric history complicates the present…

Answered: A 36-year-old gravida 4 para 3 patient…

Principles Of Pharmacology Med Assist

6th Edition

ISBN:9781337512442

Author:RICE

Publisher:RICE

Chapter28: Medications That Affect The Reproductive System

Section: Chapter Questions

Problem 19RQ

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A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy. Top of Form What is ectopic endometrial tissue?
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A 39-yr-old woman, gravida 2; para, 1 with a history of Cesarean section delivery 10 years ago presented at 35 weeks gestational age with complete placenta previa. She presented painless, vaginal bleeding in moderate amount. Physical examination revealed an arterial blood pressure of 110/70 mmHg, a heart rate of 107 beats/min, and a respiratory rate of 22 breaths/min. There were heart murmurs and the patient's lungs were clear to auscultation bilaterally, and she had mild peripheral edema. Question: Explain the perioperative management and nursing considerations for the client pre operative management.
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