A 16 year old is pregnant and visits her doctor. Her mother calls the doctor's office later with questions about the visit She asks about the due date, the heart rate of the baby, methods of delivery, genetic risks, and so on. The doctor answers all of the mother's questions. I believe there was no HIPAA violations, as the patient is under the age of 18 the doctor is able to report to the legal guardian
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- Would ISCI be an option? Why or why not? Jan, a 32-year-old woman, and her husband, Darryl, have been married for 7 years. They have attempted to have a baby on several occasions. Five years ago, they had a first-trimester miscarriage, followed by an ectopic pregnancy later the same year. Jan continued to see her OB/GYN physician for infertility problems but was very dissatisfied with the response. After four miscarriages, she went to see a fertility specialist, who diagnosed her with severe endometriosis and polycystic ovarian disease (detected by hormone studies). The infertility physician explained that these two conditions were hampering her ability to become pregnant and thus making her infertile. She referred Jan to a genetic counselor. At the appointment, the counselor explained to Jan that one form of endometriosis (MIM 131200) can be a genetic disorder, and that polycystic ovarian disease can also be a genetic disorder (MIM 184700) and is one of the most common reproductive disorders among women. The counselor recommended that a detailed family history of both Jan and Darryl would help establish whether Jans problems have a genetic component and whether any of her potential daughters would be at risk for one or both of these disorders. In the meantime, Jan is taking hormones, and she and Darryl are considering alternative modes of reproduction. Using the information in Figure 16.4, explain the reproductive options that are open to Jan and Darryl.Situation: Karen is a 30 year-old woman, 16 weeks pregnant, who comes for a first prenatal visit.She is conncerned because she did not realize she was pregnant until a week ago. Because of thhis she has been actively dieting (2 diet drinks plus one meal of vegetables daily) plus lifting weights at a health club. Karen wants her urine tested because “ I have to go alll the time”. She doesn't want any blood work done because Karen does not have any insurance. Karen has not had a pelvic examination since she was in senior high school, when she had a vaginal infection. Karen is single, lives by herself in one-bedroom. She is working at a laundry shop and her boyfriend is a salesman, out of town 5 days a week. Karen had her menarche at the age of 11; menstrual cycle every 28 days, 6 days duration with moderate flow and mild cramps. Past history positive for sinusitis and appendectomy at age 12 years. Smokes about ½ pack of cigarettes per day (“more when I’m stressed at work”); denies…Situation: Karen is a 30 year-old woman, 16 weeks pregnant, who comes for a first prenatal visit.She is conncerned because she did not realize she was pregnant until a week ago. Because of thhis she has been actively dieting (2 diet drinks plus one meal of vegetables daily) plus lifting weights at a health club. Karen wants her urine tested because “ I have to go alll the time”. She doesn't want any blood work done because Karen does not have any insurance. Karen has not had a pelvic examination since she was in senior high school, when she had a vaginal infection. Karen is single, lives by herself in one-bedroom. She is working at a laundry shop and her boyfriend is a salesman, out of town 5 days a week. Karen had her menarche at the age of 11; menstrual cycle every 28 days, 6 days duration with moderate flow and mild cramps. Past history positive for sinusitis and appendectomy at age 12 years. Smokes about ½ pack of cigarettes per day (“more when I’m stressed at work”); denies…
- Situation: Karen is a 30 year-old woman, 16 weeks pregnant, who comes for a first prenatal visit.She is conncerned because she did not realize she was pregnant until a week ago. Because of thhis she has been actively dieting (2 diet drinks plus one meal of vegetables daily) plus lifting weights at a health club. Karen wants her urine tested because “ I have to go alll the time”. She doesn't want any blood work done because Karen does not have any insurance. Karen has not had a pelvic examination since she was in senior high school, when she had a vaginal infection. Karen is single, lives by herself in one-bedroom. She is working at a laundry shop and her boyfriend is a salesman, out of town 5 days a week. Karen had her menarche at the age of 11; menstrual cycle every 28 days, 6 days duration with moderate flow and mild cramps. Past history positive for sinusitis and appendectomy at age 12 years. Smokes about ½ pack of cigarettes per day (“more when I’m stressed at work”); denies…I was admitting Darlene Jenkins, a pregnant, unmarried,14-year-old to the prenatal clinic. This was her first visitand she was already in her third trimester. A quick historyrevealed multiple factors putting both her and her fetus at risk for health problems: lack of family (or other) support (home-less, occasionally staying with an older girlfriend), father of the baby unknown, multiple sexual partners, diet consistingmainly of fast food, no prenatal vitamins, little to no exercise,and history of smoking (2 packs of cigarettes per day) andalcohol consumption (“beer 4 to 5 times a week”). When shewas seen by the medical resident, he asked her quite curtly if she was trying to “kill your baby,” telling her that it was prob-ably too late for her to get the care she needed. “Why should we waste our time on you when other women here reallywant to be helped?” Although Darlene was acting “tough,” Icould tell from her expression that she was both angry andhurt. While I was upset by the…Netty was 24 years old and lived with her husband and in-laws in a remote village. Herhusband was a day laborer and the family’s sole wage-earner. She had been marriedfor three years, and had suffered a stillbirth one year earlier. She had become pregnantagain, and her pregnancy was considered high-risk because she was physically smalland had anemia and pregnancy-induced hypertension. Netty had regular antenatal check-ups at the primary health center. Because of herhigh risk status and her previous stillbirth, the health officer was worried about her, andhe advised her to deliver at the district hospital. Netty did not think her husband wouldpay for this, however, and so she decided to deliver at home instead. A local privatedoctor attended her delivery, which was very painful and resulted in another stillbirth.After the birth Netty developed profuse bleeding, and she was brought to the primaryhealth center with a retained placenta. The medical officer managed to remove theplacenta,…
- Following the confirmation of pregnancy, the client has come into the clinic for her first prenatal visit. She reports having a 5-year-old child who was born at 40 weeks gestation a set of 3-year-old triplets who were born at 34 weeks' gestation, and a first trimester abortion when she was in college. The nurse would make which of the following entries on her medical record? a. Gravida 3. para 3112 b. Gravida 3. para 1314 c. Gravida 4. para 1114 d. Gravida 4 para 4014Discuss the anatomical, emotional and psychological changes that commonly occur in women, her partner, and her family during pregnancy.During an initial prenatal visit a pregnant client states she has had 1 miscarriage at 12 weeks, one child delivered at 38 weeks, and another child delivered at 40 weeks. The LPN/LVN documents this as: a. G4P3/ ТЗАО. b. G3P3/T2AO c. G4P2 /T2A1 d. G3P2/T2A1
- You are a medical technician on record at ABC Hospital. While doing your duties, you witnessed Harry, a colleague and RMT, give Michelle, a friend, a false laboratory result showing that Michelle is NEGATIVE in a pregnancy test, despite the fact that the pregnancy test was unmistakably positive. What are you going to do as Harry's associate? Give an overview in 4-5 sentences, and then explain or justify your response.Make a Nursing Care Plan in the following scenario Rose is a 25 year old G2 P1 on her 39th week of pregnancy. Rose came in the labor room at 8:00 am on active labor. Vital signs : BP- 120/ 85 , Pulse = 85, RR 25 Temperature = 37.2 C,. Fundic height = 37 cm. Nurse Mark had done the vaginal exam and showed 4 cm cervical dilatation. Fetal heart beat taken by Doppler was 156 beats / min. CTG was ordered and Rose was attached to the machine, Tracing showed several decelerations at each contraction, At 12 noon, Nurse Mark checked the vital signs and recorded the following : BP= 135/85, pulse 90 , RR = 25 Temperature 37.4 C, IE = 8 cm dilatation,. While Nurse Mark was preparing Rose for delivery, Dr. Ben the Obstetrician ,came and reminded the nurse to prepare standby 10 units of syntocinon to be incorporated in 500 ml of D5 LR post delivery. The Physician likewise ordered a standby 50 mg of Tramadol IM and this will be given after delivery. After 30 mins, Bag of water burst and…Elsa is a mother of 2 and currently on her first trimester of her 3rd pregnancy's. She loves to eat raw rice, unripe guava and other unique food. Her two children ages 2 years and 3 years is remarkably stunted for growth, pale and big tummy, you have visited her home as part of your family nursing care. Based on this scenario to whom would you refer the family.