Women’s Health Assessment Part II: Labor There are various stages of labor. According to Chuma, Kihunrwa, Matovelo, and Mahendeka (2014) the initial stage of labor occurs at the onset of cervical change to complete cervical dilatation, and is further divided into latent and active phases (Chuma, Kihunrwa, Matovelo, & Mahendeka, 2014). When the cervix starts to efface and dilate up to 3cm, this is considered to be the latent phase. The active phase is declared when cervical dilatation increases, and occurs from 4 cm to 10 cm (Chuma, Kihunrwa, Matovelo, & Mahendeka, 2014). Case Study and History of Present Illness
X.C., a 30 year old married Asian female who works in her family’s business. She is a non-smoker, she does not drink alcohol or use drugs. She lives with her husband and 4 year old son. She denies any history of abuse, and reports feeling safe at home. She also uses her seatbelt regularly. X.C. presents to the office today for a scheduled non-stress test for gestational diabetes. Her blood sugars have been well controlled with this pregnancy, by diet. She is a G2P1, with one previous vaginal delivery. EDC is 4/8/16. X.C. is currently having lower abdominal pain and pressure in her vaginal area that started 3 days ago. She is also c/o of constant, dull pain in her right upper quadrant (under her ribs). X.C. has tried drinking water, resting, and Tylenol for pain. These measures
She was first seen on November 10, 2103, but this report was intentionally delayed until the results from the endometrial biopsy where obtained.
On April 221, 2017, at 1602hrs, VA police received a Duress alarm in 2F511. Investigation revealed that the Veteran was upset needing an appointment to get transition lenses. VA Police made contact with the Veteran at the Woman’s Clinic to obtain his side off the story. The Veteran became standoffish with officer and kept stating there was no problem. Officer’s obtained his information and remained in the area. While talking to the staff the Veteran walked by and stated “fucking pussies”, several time. VA police attempted to get voluntary compliance from the veteran to leave the facility. The Veteran went down stairs and went to Desk A and talked to an RN. Officers attempted to get the Veteran to leave at this point. While one officer talked
Mission: Advance the health and safety of women and girls with a focus on disease prevention and wellness. (cdc.gov/women)
I was the nursing student assigned to Ms. K.R, an 18 year old African American female who was admitted to Detroit Hutzel labor and delivery unit on October 31st 2015. Upon admission Ms. K.R was 39 weeks and six days pregnant, in the first phase of latent labor, dilated to 3 cm, 70% effaced, -3 station and her contractions were four minutes apart. She had a history of asthma, bipolar depression, anxiety, elevated blood pressure and adult BMI of >30. She is allergic to penicillin, nuts, kiwi and blueberries.
Serrita is a 26yo, G3 P1011, who was seen for an ultrasound evaluation and fetal anatomy assessment. As you know, she has chronic HTN and is on methyldopa 500 mg b.i.d. Her BP is normal on today’s assessment at 130/78. Her urine evaluation was negative. She is also hypothyroid status-post a diagnosis of Hashimoto’s thyroiditis. She is on replacement therapy. She did undergo noninvasive prenatal testing (NIPT) that returned low-risk, female and her maternal serum AFP was normal at 0.58 MoM. Based on her height and weight at the start of the pregnancy, her BMI was about 38. Lastly, she is on metformin 500 mg b.i.d. She states that she believes that she was on this due to abnormal insulin levels but she was not completely certain as to why
Kecia is a 25yo, G3 P2002, who was seen for an ultrasound evaluation to evaluate the fetal abdomen. She overall denies any major medical disorders. She reportedly had a seizure related to an anesthesia event in a prior surgery but denies any history of epilepsy and therefore is not on an anticonvulsant. She has 2 previous term uncomplicated vaginal deliveries in 2012 and 2016. On today’s evaluation, overall, she has no obstetrical complaints and has positive fetal movement.
At Stellar Women’s Health Specialists in Wailuku, Hawaii, they focus on offering women of all ages the very best health care. As a small women’s health clinic devoted to excellent patient care with a personal touch that cannot be replicated, their small but dedicated staff take pride in helping women of all ages maintain excellent health. From the beginning of womanhood to menopause, their obgyn will know exactly how to care for your unique body and needs.
Women in today’s society have a lot more power and say in what they can or cannot do.
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People -regardless of race, religion, or age- have the right to food, shelter, and adequate health care. However, due to the changes in the Texas Women’s Health Program, many women may not be able to afford the expensive of health care. Planned Parenthood is no longer covered by the low-income state insurance plan because the organization offers abortion services (Texas Women’s). Politicians, such as Texas Governor Rick Perry argue that the revised program is “great news for Texas women” (Kou). Unfortunately Perry is no different than Carl N. Karcher; both men believe they made “Progress” in their decisions (Schlosser, 28). Karcher only sees the “Progress” being made in his hometown and how the success can benefit him, while Perry only sees a way to segregate clinics which are pro-choice and not how it affects the female population of the state. While the program offers a list of clinics that are covered, many of them are run by male doctors; this might prevent a woman who has been sexually abused to receive the care she needs and are inconveniently located. Allowing Planned Parenthood to be covered by the revised insurance would improve these problems. The clinics are run only by women, located in every major city, and offer all the services covered by Texas Women’s Health (Benefits/Sexual Health Topics). However, contrary to what many people believe, Planned Parenthood was not created as an abortion clinic, but as a clinic which specialized in women’s health care services
We at the Women's Health Resource Center are pleased to welcome Nurse Practitioners Inna Anderson FNP-C and Beatrice Bellanton FNP-C, to our growing Gynecological Practice. Beatrice and Inna will participate in a wide range of patient care needs with Dr. Besong.
Heart disease is the top health threat for women in America. More women are affected from heart disease than all cancers combined. Anyone is at risk to develop heart disease; most people believe heart disease is associated with men but more women die from it each year. It is the number one killer of men and women in America. In the August 2015 issue of Woman’s Day Magazine, “The Health Issue You Must Discuss” author, Barbara Brody, is successful in using pathos and logos to convince women to become educated and get the word out about heart disease.
L. is suspected of having endometriosis based on her clinical symptoms. Individuals with endometriosis have similar symptoms as B. L. Endometriosis is an abnormal growth of endometrial tissue outside of the uterus with accompanying symptoms of severe dysmenorrheal, pelvic pain and oftentimes infertility (Bouazz, Mashiach, Cohen, Kedem, Baron, Zajicek, & Soriano, 2018). Other symptoms of endometriosis are abnormal uterine bleeding, gastrointestinal and genitourinary symptoms, such as nausea, vomiting, and dysuria (Dun et al., 2015). Being that B. L’s labs were negative, and her symptoms were refractory to medical treatment, a diagnosis was made based on her severe pelvic pain without evidence of pathology (Dun et al.,
The first stage of labor actually has two phases itself. The first phase is called early labor. During early labor you should start to feel something like light cramps. It is also common to feel pressure in your lower back. This is the start of what is called “contractions”. Contractions help your uterus (female reproductive organ) stretch and relax,
Birth of a child can be such a happy time, especially when the little one is very healthy. We all have seen the movies when a new child is born, some of us are lucky to see it first hand. Some of us do get goose bumps, me being one of them. It is just so exciting to see that little life come out of what has been in that big belly for nine months. We sometimes refer to the birth of a child as labor. If only it was as easy as the name sounds. However, it is not. There are three main stages in birth. The first stage is the longest stage that can last 12 to 14 hours with the first birth, and later births are shorter. Dilation and effacement of the cervix take place here. That is when the uterine contractions gradually become more frequent and