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- A 32 year old G1P0 seeks consult for initial obstetric visit. Diagnostic procedures are requested and medication are given by the Obstetrician-Gynecologist. The nurse is conducting health teaching. At 20 weeks age of gestation, all of the following developments in the fetus has already occured? (SELECT ALL THAT APPLY)
- Downy lanugo hair surrounds the skin -(baka di kasama to)
- Gender can be determined by UTZ
- Physiologic herniation of the gut has occurred
- Urine production has began
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- A 29 y/o, G3P2, 35 weeks gestation presents for prenatal care. She complains of on and off scanty vaginal bleeding not associated with other signs and symptom. Your impression is placenta previa. The simplest, most precise and safest method to confirm your diagnosis is which of the following? Sonography Magnetic resonance imaging Computed tomography Double set-up examinationTracy is a 25-year-old woman, Roman Catholic, from a semi-remote First Nation Community, L.A., Laguna. She is 37weeks pregnant, 65 kgs and attending a prenatal visit with her community nursetoday. This is her third pregnancy and she has attended all previous visits with her mother and/or Frank, the father of her baby. She stated that she experience minimal vaginal discharge, with mild contraction.Tracy is very quiet and makes limited eye contact during visit. Tracy’s pregnancy has been fairly uneventful. Laboratory values (Complete blood count (CBC), hepatitis B Screening (HBSag) ,Urinalysis(UA), ABO typing) and vital signs have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. During her visit the nurse told her the labor signs and symptoms and when to go for hospitalization.Olivia Jones is a 23-year-old, single, African-American female, G1 P0000 at 36 0/7 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance. The patients blood type is O+. The patient is negative for HIV and Hepatitis B. Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. She has gained 3 pounds since prenatal visit 1 week ago. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial puffiness. Ms. Jones is complaining of a headache that is not resolved with acetaminophen. She presents with nausea and fatigue and complaining of epigastric pain, visual changes, and chest tightness. The fetus is active; however, patient states that it is a…
- Mrs. Vanessa Narciso , 22 year old Gravida 1 Para 1 delivered spontaneously to a live Isaby girl weighing 3,600 grams. Immediate postpartal care is done by Nurse Marina who is assigned to her. After the delivery has been completed, the following Interventions are done, except which of the following? Monitor her VS (every 10-15 mins) Lower her legs from the stirrups one after the another Cover her with blanket to avoid chilling Linen under her buttocks are replaced with a sterile perineal pad.Tracy is a 25-year-old woman, Roman Catholic, from a semi-remote First Nation Community, L.A., Laguna. She is 37weeks pregnant, 65 kgs and attending a prenatal visit with her community nurse today. This is her third pregnancy and she has attended all previous visits with her mother and/or Frank, the father of her baby. She stated that she experience minimal vaginal discharge, with mild contraction.Tracy is very quiet and makes limited eye contact during visit. Tracy’s pregnancy has been fairly uneventful. Laboratory values (Complete blood count (CBC), hepatitis B Screening (HBSag) ,Urinalysis(UA), ABO typing) and vital signs have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. During her visit the nurse told her the labor signs and symptoms and when to go for hospitalization. I. Using the information above: Make a Nursing Care PlanAn 18-year-old woman presents for care because a condom broke during sexual intercourse. Coitus occurred 1 day ago when she was at midcycle . She does not wish to be pregnant and will terminate the pregnancy if menses does not occur . Regarding her fear of pregnancy , which is the most appropriate next step in her management ? Advise her to await her next menses before taking any action Advise her that unprotected midcycle coitus has a 5 % risk of pregnancy ( B ) prescribe intravaginal misoprostol ( Cytotec Prescribe a brief course of levonorgestrel d. Advise immediate douching
- Mrs. Vanessa Narciso 25-year-old G1PO who seek consult for the first time at 20 weeks age of gestation is being taken care of by an obstetric nurse. A priority goal for Mrs. Vanessa is that able to: Attend prenatal care appointments on a regular basis Explain the process of fetal development Record the number of the fetal movements 4 times a day Maintain a steady weight gainSituation: sixteen-year-old Maria has come to the Barangay Coconut Community Health Clinic for a pelvic examination and Pap smear. During the assessment interview, Maria states that she is sexually active. She and her boyfriend sometimes use condom. She doesn’t want to take any pill or medicine because she can’t afford it and she’s afraid her parents will find out that she’s having sex. Cervical caps like diaphragms must be fitted individually by a health care provider but you must consider contraindications. Caps are contraindicated in which of the ff; SELECT ALL THAT APPLY With allergy to latex With history of gonorrhea With allergies to spermicide and oil sprays History of cervical cancerMaternal and Newborn Health Unit Liverpool School of Tropical Mediine LSTM/RCOG Lie Saving Skilh -Eential (Emergency) Obstetic Care and Niewborn Care LSTM Symbols Usual frequency of examina tion Cervix Vaginal examination 4 hourly Head X - X hourly Fetal Heart Rate Breech Fetal heart rate Contractions: Palpate abdomen (uterine fundus)over 10 min. «20 seconds Mild Amniotic fluid Maderate 20-40 seconds Membranes intact Strong >40 seconds Membranes ruptures, clear fluid Descent: Abdominalpalpation Meconium stained fluid M 45 35 2 Biood stained fluid Abdomer Moulding Sutures apposed Helve covty Sutures overlapped but reducible 2+ Conpety Sp Sincipa Encixt Groput re M Ng y Sutures overlapped but not reducible Ocuut Ou Ox O jae ra 1. WHO Managing compications in pregnancy and chidbirm 1 Matemal and Newban Health Unit iverpool School of Tropical Medicine LSTM/RCOG Life Saving Skils-Easential (Emergency) Obstetric Care and Newborn Cam LSTM Name: Mrs DG Partograph Case 3 Hospital No.: 462432 XY…
- DO NOT CANCEL, I WILL UPVOTE PLEASE Formulate a HOME VISIT PLAN about teenage pregnancy. (health teaching) important notes: - specific time and date should have specific objectives. - pls base on the chart belowA nurse explains that the efficiency of the basal body temperature method of contraception depends on fluctuation of the basal body temperature. What factor will alter its effectiveness? 1. Presence of stress 2. Length of abstinence 3. Age of those involved 4. Frequency of intercourse