G9: CASE ANALYSIS Ben, a 28-day-old male who was born at home, was admitted when his family midwife saw an ecchymosis on his left hemi-scrotum. Ben, a breastfed baby with no substantial family history, had been doing well at home when his parents observed an intense discoloration on his right testicle at 26 days old, which then moved to his left testicle before admission. Ben had previously been healthy, according to a prenatal checkup provided by their family midwife. What condition is baby Ben suffering from, and what vitamin deficiency caused it? And why?
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G9: CASE ANALYSIS
Ben, a 28-day-old male who was born at home, was admitted when his family midwife saw an ecchymosis on his left hemi-scrotum. Ben, a breastfed baby with no substantial family history, had been doing well at home when his parents observed an intense discoloration on his right testicle at 26 days old, which then moved to his left testicle before admission. Ben had previously been healthy, according to a prenatal checkup provided by their family midwife.
What condition is baby Ben suffering from, and what vitamin deficiency caused it? And why?
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- Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. Construct a nursing care plan addressing 3 of patient’s problems.( actual and potential=3)Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. What is the nursing diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly.Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. What is the diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly.
- Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. What is the diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly. Construct a nursing care plan addressing 3 of patient’s…Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. Construct a nursing care plan addressing 3 of patient’s problems.( 2 actual and 1 potential nursing diagnosis=3)Case study A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l. Questions. Construct a Nursing Care plan addressing 3 of patient’s problems.( 2 actual and 1 potential nursing diagnosis=3). Include 2 short term and long term goals,…
- Case study 1 A 28 year –old Asian woman is referred by her general practitioner (GP) with persistant vomiting at 7 weeks gestation. She is in her second pregnancy having had a normal vaginal delivery 3 years ago . She is now vomiting up to 10 times in 24 hours and has not managed to tolerate any food for 3 days. She can only drink small amounts of water. She saw her GP a week ago who prescribed prochlorperazine suppositories but these only help for a few. She feels very weak and is unable to care for her son now. On direct questioning, she has upper abdominal pain that is constant, sharp and burning. She has not opened her bowels for 5 days. She is passing small amounts of dark urine infrequently but there is no dysuria or haematuria. There has been no vaginal bleeding. There is no other medical or gynaecological history of note except that she suffered persistent vomiting in her pregnancy requiring two overnight admissions. EXAMINATION She is pyrexia. Lying blood pressure is…Case study 1 A 28 year –old Asian woman is referred by her general practitioner (GP) with persistant vomiting at 7 weeks gestation. She is in her second pregnancy having had a normal vaginal delivery 3 years ago . She is now vomiting up to 10 times in 24 hours and has not managed to tolerate any food for 3 days. She can only drink small amounts of water. She saw her GP a week ago who prescribed prochlorperazine suppositories but these only help for a few. She feels very weak and is unable to care for her son now. On direct questioning, she has upper abdominal pain that is constant, sharp and burning. She has not opened her bowels for 5 days. She is passing small amounts of dark urine infrequently but there is no dysuria or haematuria. There has been no vaginal bleeding. There is no other medical or gynaecological history of note except that she suffered persistent vomiting in her pregnancy requiring two overnight admissions. EXAMINATION She is pyrexia. Lying blood pressure is…Case study 1 A 28 year –old Asian woman is referred by her general practitioner (GP) with persistant vomiting at 7 weeks gestation. She is in her second pregnancy having had a normal vaginal delivery 3 years ago . She is now vomiting up to 10 times in 24 hours and has not managed to tolerate any food for 3 days. She can only drink small amounts of water. She saw her GP a week ago who prescribed prochlorperazine suppositories but these only help for a few. She feels very weak and is unable to care for her son now. On direct questioning, she has upper abdominal pain that is constant, sharp and burning. She has not opened her bowels for 5 days. She is passing small amounts of dark urine infrequently but there is no dysuria or haematuria. There has been no vaginal bleeding. There is no other medical or gynaecological history of note except that she suffered persistent vomiting in her pregnancy requiring two overnight admissions. EXAMINATION She is pyrexia. Lying blood pressure is…
- Case study 1 A 28 year –old Asian woman is referred by her general practitioner (GP) with persistant vomiting at 7 weeks gestation. She is in her second pregnancy having had a normal vaginal delivery 3 years ago . She is now vomiting up to 10 times in 24 hours and has not managed to tolerate any food for 3 days. She can only drink small amounts of water. She saw her GP a week ago who prescribed prochlorperazine suppositories but these only help for a few. She feels very weak and is unable to care for her son now. On direct questioning, she has upper abdominal pain that is constant, sharp and burning. She has not opened her bowels for 5 days. She is passing small amounts of dark urine infrequently but there is no dysuria or haematuria. There has been no vaginal bleeding. There is no other medical or gynaecological history of note except that she suffered persistent vomiting in her pregnancy requiring two overnight admissions. EXAMINATION She is pyrexia. Lying blood pressure is…Case study 1 A 28 year –old Asian woman is referred by her general practitioner (GP) with persistant vomiting at 7 weeks gestation. She is in her second pregnancy having had a normal vaginal delivery 3 years ago . She is now vomiting up to 10 times in 24 hours and has not managed to tolerate any food for 3 days. She can only drink small amounts of water. She saw her GP a week ago who prescribed prochlorperazine suppositories but these only help for a few. She feels very weak and is unable to care for her son now. On direct questioning, she has upper abdominal pain that is constant, sharp and burning. She has not opened her bowels for 5 days. She is passing small amounts of dark urine infrequently but there is no dysuria or haematuria. There has been no vaginal bleeding. There is no other medical or gynaecological history of note except that she suffered persistent vomiting in her pregnancy requiring two overnight admissions. EXAMINATION She is pyrexia. Lying blood pressure is…Pregnancy Case Scenario A 35-year-old woman Gravida 1, Para 0, comes in for her 16-week prenatal visit for the first time. She has been suffering from nausea and vomiting since her sixth week, and while it has begun to get better, she still vomits two to three times a day. Her nausea is alleviated somewhat by sipping on hot coffee and sucking on candies. She has not been to the dentist in the past year, and she has not been able to regularly brush her teeth since the onset of vomiting, because the toothbrush in her mouth triggers her condition. She reports pain (toothache) when drinking hot tea or having ice cream. "Develop basic nursing care management for a healthy pregnancy based on the case scenario."