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…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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15-year-old girl comes to the physician because of pelvic pain. She has never had a menstrual period; however, she develops crampy lower abdominal pain every 28 days that resolves in a day or two. On physical examination, the patient at the 60th percentile for height, 70th percentile for weight, and has fully developed secondary sexual characteristics. Rectal examination reveals a palpable mass anterior to the rectum. Serum β-hCG is negative. Which of the following is the most likely diagnosis in this patient? A.Endometriosis B.Ectopic pregnancy C.Hyperprolactinemia D.Imperforate hymen E.Kallmann syndrome F.Testicular feminization syndrome G.Turner syndrome
Ms. B was admitted at OBW - BRTTH last April 7, 2022 at 1:20 am, cervix 1 cm dilated. Her BP was 160/100 and her pain level of 0/10. IVF of D5LR 1L was inserted at the right hand, regulated at 20 gtts/min. Laboratories such as Complete Blood Count (CBC) with typing, Blood Urea Nitrogen (BUN), Hepatitis B Surface Antigen (HBsAg), Creatinine, Platelet count, and Urinalysis were done to the pregnant mother. The Admitting Diagnosis was Pre-eclampsia with superimposed chronic hypertension, and the final diagnosis was Pre-eclampsia with severe features. Monitoring of V/S and FHT q 4hrs was ordered and done. At 9:45 pm, delivered to a baby boy with AS of 8, 9. Several hours after delivery, the mother was ordered to undergo laboratory tests. The findings are normal results in CBC with typing, platelet count, and creatinine. Non-reactive HBsAg and high levels of BUN and oliguria in urinalysis. Upon checking the mother, she exhibited edema around her hands, has severe dehydration, decreased…
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