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- mutations. on PCOS (polycystic ovarian syndrome)Woman in labor 38 years, the first delivery, time .When entering the kind of room: OJ = 110 cm, height of uterine fundus = 40 cm. Penetrates the fetal head. The skin is pale vulvar ring, yielding little. Your diagnosis? The most rational tactics of the doctor at this stage?Discussion: Fetal Development Marie Tamasin is a quiet shy, 35-year-old woman from Port Au Prince, Haiti, who arrives at the doctor’s office with her husband Jean. Jean tells the nurse that in Haiti, a multiple marker screen blood test was done, and they were told it was abnormal. Marie expresses ambivalence about the pregnancy, stating, “I’m really scared. I had a miscarriage 6 month ago. She complains of tender breasts and intermittent nausea. Her last menstrual period was June 10. 1. What is Marie’s GTPAL, and due date? (Using the GTPAL) And explain how you calculate a due date. 2. When is this test normally done? Explain what this test is and what are the implications of this test? 3. How might Marie’s cultural background affect the nurse-client relationship and what might the nurse do to become more culturally competent? 4. Marie is scheduled for an amniocentesis. The nurse askes if she has any questions about the test. Marie says, “I’m afraid the baby will be…
