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- A 25 y/o pregnant female has been diagnosed with gestational diabetes. Her OB/GYN wants her to meet with this healthcare professional to help
develop a diet plan to follow during her pregnancy.
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- Which of the following is NOT a dietary recommendation for pregnant women? a. Energy and nutrient needs are higher during pregnancy. b. A balanced diet that includes an extra serving from each of the five food groups can usually meet these increased needs, with the possible exception of iron and folate for which supplements are recommended. c. Although the calcium Recommended Dietary Allowance (RDA) does not increase with pregnancy because of increased absorption, women who consume less than 600 milligrams of calcium per day need to increase their intake of milk, cheese, yogurt, and other calcium-containing foods. d. To prevent heartburn during pregnancy, women need to eat small, frequent meals and drink large amounts of liquids with their mealsKatie is a 30 –year –old primigravida. She is being discharged with her healthy daughter Sarah this evening. Katie delivered vaginally 50 hours ago without complications and is breastfeeding without difficulty. You chart evidence of positive bonding behaviors. Her postdelivery hemoglobin is 9.5mg/dl. She has history of depression during high school. Her mother is planning to help for the next few weeks until Katie and Sarah get settled at home. Katie’s mother is a support person for her, so how can you include her family in the education?Samira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. If Samira still wishes to become pregnant, which treatment option may decrease her symptoms while allowing fertilization and implantation of an ovum? Progestin therapy Depo-Provera Estrogen-Progesterone patch Conservative surgery
- Tiffany is 21 years old 65" tall, weighs 105 pounds and has a BMI of 17. She is a senior in college and is a dance major. She practices and performs several hours per week. She restricts her food intake to maintain her slim physical appearance. Although she does not know it yet, Tiffany has low bone density. She also reported that she has missed her menstrual periods the last 6 months. 3. Which statement most accurately summarizes Tiffany's health profile as presented in this case study? Tiffany is in great health and has nothing to be concerned about Tiffany has bulimia nervosa Tiffany has what is referred to as The female athlete triad Tiffany suffers from orthorexiaA new mother is 1 week postpartum and has decided to breastfeed her baby. She is visiting as an outpatient with you at the lactation clinic. She verbalizes to you her baby is having difficulty at times latching on and sometimes does not empty the breast completely. She states that within the pass day she has started to develop a red, painful area on her right breast and it is making it very difficult for her to breastfeed. On assessment you note that the red breast is developing the early sign of Mastitis. Her right breast has a hard, tender, red spot on the right outer area. The patient denies having any flu-like symptoms at this point. 1- Based on this case scenario, write the subjective and the objective data 2- Formulate your nursing diagnosis based on the information given 3- Create the care plan for this patient 4- What are the nursing interventions for this patient's health problem 5- Lastly, evaluate the outcomes goals for this patient.A 3-week-old female newborn is brought to the emergency department because of a 4-day history of bluish discoloration of the feet, poor feeding, excessive sweating, and irritability. She was born at term following an uncomplicated pregnancy and spontaneous vaginal delivery. Examination following delivery showed no abnormalities and she was discharged two days later. She is exclusively breastfed. She appears ill. She is at the 70th percentile for length and 20:h percentile for weight. Her temperature is 36.8°C (98.2°F), pulse is 168/min, and respirations are 66/min. Her blood pressure is 91/69 mm Hg in the right arm, 90/70 mm Hg in the left arm, 72/67 mm Hg in the right lower limb, and 70/68 mm Hg in the left lower limb. Pulse oximetry on room air shows an oxygen saturation of 98% in the right hand and 78% in the right foot. On examination, subcostal retractions are seen, and the liver is palpated 4 cm below the right costal margin. Chest auscultation discloses fine crepitations in both…
- Lavonne is 42-years-old and has always had to watch her intake and maintain an active lifestyle to stay at a healthy weight. She is 5'8" tall and until a couple of months ago, maintained a healthy weight of 160 pounds, with a BMI in the normal range of 24.3. However, a couple of months ago, Lavonne was training for her first marathon and while running, she stepped in a hole and broke her ankle. She has been unable to keep up her training regimen and is very disappointed that she can't participate in the marathon. Lavonne has been indulging in her favorite foods to make herself feel a little better and has gained 18 pounds and her BMI is now 27.1. She's also discovered that as she gains weight, the weight seems to be settling in her middle as her waist circumference has increased by two full inches to 34"! Question 1: Define energy balance and explain Lavonne's weight gain in terms of factors affecting energy intake and all areas of energy expenditure.\ Samira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. List and briefly describe 3 risk factors Samira has for endometriosis.Please provide two recommendations to improve the process of perinatal care for exclusive breast milk feeding
- KL is a 24-year-old female with diagnosis of obesity and asthma. She shows up today in primary care physician office for her annual physical exam. While you are getting her vitals and weight, KL tells you she has gained 10# in the last 2 months, and that she really wants to lose some weight. She is 5 feet 1 inch tall and weighs 235 pounds currently. You also got her measurement of waist circumference, which is 42 inches. KL mentions she read from the Internet that “The Rock” has a high BMI and is technically “obese”, and wonders if BMI is useful. She describes her typical day as below: she has a sedentary lifestyle and sits in front of a computer all day at work. She usually gets a quick breakfast from McDonald’s or Dunkin’ Donuts when she gets her morning coffee on the way to work, and then a quick lunch from one of the fast-food restaurants near work during her 30 minutes lunch break. She drinks bottled iced tea throughout the day because she doesn’t like the taste of tap water.…Identify the exposures and outcomes from the following statements and match as appropriate. (There are more options than needed). Researchers are interested to know whether laws prohibiting texting while driving have led to a reduction in road traffic accidents. Regular intake of fish that are rich in mercury during pregnancy could lead to nervous system damage of the fetus Neural tube defects in the fetus can be prevented by regular folic acid supplementation in women who are pregnant and/or planning to be pregnant As a researcher, you are curious…Exclusive Breastfeeding entails that an infant will receives only breast milk without any additional not even water. Rooming - In and Breast-feeding Act of 1992 known as: Republic Act (RA) 9173 Republic Act (RA) 7600 Republic Act (RA) 9288 Republic Act (RA) 9262
