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The Guidelines Regarding Frequency And Length Of Time To Breastfeed An Infant Case Study

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• SP—1 A 26-year-old Korean woman who is gravida 1, para 0, in her thirty-seventh week of gestation. She is 5’6” (168cm) tall and weighed 160 pounds (72.7kg) prior to becoming pregnant (prepregnancy BMI of 25.8kg/m2). She now weighs 190 pounds (86kg), and her pregnancy has been uncomplicated. She is considering breastfeeding and questions her childbirth provider (you) about it and whether she can continue after she returns to work 8 weeks postpartum. She had been trying to lose weight before she got pregnant. She plans to lose her pregnancy weight quickly and fears dieting will keep her from producing enough breast milk to feed the baby adequately. Case Questions to Consider: 1—What advice can be given to her to help her decide whether …show more content…

He has smoked one pack of cigarettes per day for 30 years (30-pack year history). Family history: His family history is negative for the presence of heart disease, stroke, cholesterol, and lipid disorders, or neurologic disorders. ROS: General—the patient reports lethargy, decreased appetite, and recent bloating; he relates that his pants are tighter in the waist than usual GI/abdomen—no vomiting or diarrhea Neurologic—No history or seizures, no tinnitus, no syncope. He has reported some memory loss Vital Signs: Height—5’8” (173cm) Current weight—160 lb (73kg) Usual weight—(1 month ago) 150 lb (68kg) Exam: General—well-dressed male who appears to be in mild distress Skin—jaundiced; spider angiomas on the upper chest Eyes—pale conjunctiva, sclera icteric; no ophthalmoplegia or nystagmus Cardiac—resting tachycardia; heart sounds are normal; no murmurs are present Chest/Pulmonary—lungs clear to auscultation and percussion bilaterally; mild gynecomastia Abdomen—Distended abdomen; presence of abdominal fluid wave and shifting dullness; enlarged liver size (14cm span) with a firm, non-tender edge; no splenomegaly Extremities—slight (1+) bilateral lower extremity edema Neurologic—decreased vibratory sensation in the lower legs; bilaterally decreased knee reflexes; no asterixis; decreased vibratory sensation in the lower legs; bilaterally decreased knee reflexes; no asterixis; normal sensation and position sense in upper and lower extremities; cranial nerves II

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