As the nurse, you're recording a patient's obstetric history at her first prenatal appointment. She tells you that her last menstrualperiod was July 11th. Using Naegele's rule, what would be the EDD, or expected date of delivery?0000April 4th the following yearApril 18th the following yearOctober 14th this yearOctober 18th the following year

Using Naegele's rule, the expected date of delivery (EDD) is determined using the first day of the…

Answered: As the nurse, you're recording a…

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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A 28-year old primigravida comes to your clinic on her 30th week of gestation complaining of chest pain. On examination she was seen to have cardiomegaly which strengthened the diagnosis of heart disease in pregnancy. The nurse would advise the client that if the patient is without any obstetrical indication, she will best deliver by: a. Outlet forceps extraction under epidural anesthesia b. Cesarean section under general anesthesia c. Normal spontaneous delivery under pudendal block d. Cesarean section under epidural anesthesia
Which recommendation seems most appropriate for Catarina during her pregnancy? 1. Catarina should maintain a healthy diet and appropriate exercise regimen, and avoid unnecessary exposure to environmental contaminants. She should also keep taking her current antidepressants. 2. Catarina should definitely address the issues of a healthy diet and environment as well as exercise, but her physician should also explore whether to change to another dose or type of antidepressant. 3. Catarina has already exposed her unborn baby to some risk factors, so she should stop taking the antidepressant and try to control her depression through cognitive-behavioral therapy. 4. Catarina should definitely clean up her diet, but she might as well stay on her medication. What's done is done, and the baby has already been exposed to antidepressants during critical periods. Defend After stating your decision, defend it. Explain why your decision is the best given the evidence, and explain why the evidence…
A 50-year-old woman comes in for her annual pelvic checkup with complaints of occasional urinary urgency (abrupt need to urinate), sometimes with “near incontinence” just as she is reaching the toilet. She denies intake of any potentially bladder-irritating substances, such as beverages containing caffeine or synthetic sweeteners. She also mentions that she is having difficulty with decreased lubrication during intercourse and that her menses are very irregular. On physical examination, you notice some thinning of the vaginal mucosa. Based on your understanding of the major role that estrogen plays in maintaining continence, discuss your plan for patient education.
The nurse is discussing reproductive health with female adolescents. She would explain which of the following as the chief function of the progesterone? (Select all that apply), Proliferation of vaginal epithelium Decreases uterine contractility Prevents lactation during pregnancy influences the increased supply of glycogen, arterial blood and amino acids in the endometrium Act as a thermoregulatory
Ms. Jones, a 35-year-old female, presents to the clinic with complaints of fatigue, dizziness, and irregular menstrual cycles. Upon further assessment, it is revealed that she has a history of heavy menstrual bleeding. She also reports difficulty conceiving despite regular attempts at conception. Based on these symptoms, what hematologic and sexual disorders would you consider in your differential diagnosis, and what diagnostic tests would you order to confirm your suspicions?
What is the Last Menstrual Period (LMP) given the Expected Date of Delivery (EDD)? EDD: Aug 19, 2020
Pia Gavin is a 37 yr old gravida 3 para 2 with a history of smoking and HTN. She asks the community health nurse about contraception after the birth of her third baby. Which method of contraception is best for me, the pill or the intrauterine device (IUD) the nurse best response is; Either method would be an excellent choice because both have low failure rates The pill is more effective, and you won’t have the problem of expulsion, which can be an issue with the IUD The IUD is a better choice for you that the pill; hormonal contraception places women older than age 35 with your history at greater risk for complications. Because you are older than age 35, neither method is a good choice for you.
Mrs. Vanessa Narciso utilizes calendar method to determine her ovulation and chances of getting pregnant. She reported her cycle is regular. Her last menstrual period was August 15 and her next menstrual period will be September 11. She had sexual intercourse on the following dates: Aug 17, 19, 24, 28, September 2. Which of the following dates she could get pregnant? August 17 August 24 September 2 August 28
What is the Last Menstrual Period (LMP) given the Expected Date of Delivery (EDD)? EDD: Sept. 30, 2021
Susan, a medical assistant in an obstetrics and gynecology practice in Maryland, is scheduling an obstetric work-up for a 15-year-old patient, Joan. As Susan takes her medical history, she realizes that Joan is seeking medical help without her parents’ knowledge, despite the fact that she lives at home. It is clear to Susan that this patient knows the importance of seeking medical care at the onset of pregnancy and understands the proper use of birth control. Despite this, Joan says that she chose to become pregnant. Should Susan contact Joan’s parents? What can Susan do to encourage trust and ensure that medical care will continue for this mother and her fetus?
Mrs. Vanessa Narcisoa 22 year old Gravida 1 who vaginally delivered her first infant The vaginal delivery was uncomplicatedhour after delivery, which of the following findings would the Nurse Marina expect in a patient who didn't have complications? Firm uterus; scant amount of lochia serosa Boggy uterus; heavy amount of lochia rubra with small clots Firm uterus; heavy amount of lochia rubra with small clots Boggy uterus; moderate amount of lochia serosa
Orthostatic hypotension Select all that apply. is a medical emergency that indicates postpartum hemorrhage is a normal postpartum finding is caused by hemodynamic changes in the immediate postpartum period episodes may cause the patient to need assistance while ambulating episodes will require strict bedrest for several hours afterward

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