Female Patient Cases 5

Sample Answer

Part 1

Case 2

The American College of Obstetricians and Gynecologists (ACOG) recommends in its guideline’s aspirin 81 mg daily.

Prophylaxis with low-dose aspirin 81 mg/day is advised by the American College of Obstetricians and Gynecologists (ACOG) for women at significant risk of preeclampsia between 12 and 28 weeks of pregnancy, preferably before 16 weeks (Banala et al., 2020). The regimen should be continued daily until delivery. Recent evidence indicates that aspirin may have adverse effects on the fetus, potentially leading to congenital anomalies. Despite this, the FDA categorizes aspirin as pregnancy category C, suggesting that its use during pregnancy is relatively safe.

Case 3

G.P. is a 32-year-old primigravida patient whose blood type is B Rh negative. She is in her first trimester and has a vaginal bleeding episode.

The therapy for acute abnormal uterine bleeding is determined based on the patient’s clinical condition, the severity of the situation, the presumed cause of the bleeding, interest in future fertility, and any existing medical conditions. Hormonal management will be the first medical therapy for patients who do not have any suspected or confirmed bleeding disorders. Conjugated equine estrogen administered intravenously, combination oral contraceptives, and oral progestins are the many treatment options available (MacGregor et al., 2023).

Case 6

Discuss three fetal screenings and include the screening test name. Screening test components. Gestational age to perform the test, what d. Defect (s) will be screened.

The pregnant woman is screened by blood and ultrasound in the first trimester. Both tests are generally done simultaneously, between 10 and 13 weeks. Two chemical concentrations are measured in blood. The ultrasound called a nuchal translucency screening, measures the fetus’s back-neck thickness. An abnormal measurement suggests the fetus has Down syndrome or another aneuploidy. Heart, abdominal wall, and bone problems are also related to it.

The second-trimester screening consists of the following examinations The “quadruple” or “quad” blood test measures the relative concentrations of four unique substances inside the circulatory system. NTDs, Edwards syndrome, and Down syndrome are all detectable by the quad test. It takes place throughout the 15th to 22nd week of gestation. An ultrasound examination is performed from the 18th to 22nd week of pregnancy to detect any notable physical irregularities in the limbs, brain, spine, facial structures, abdomen, or heart (Sussman et al., 2021).

Part 2

A practical health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included in health assessments to reach maximal health potential in individuals.

In addition to physiological information, assessments often consider societal, psychological, spiritual, financial, and lifestyle variables. For instance, nursing assessments for pregnant patients, similar to those of the three patients mentioned above, should also address significant life changes, such as those involving nutrition, exercise, and lifestyle modifications (Potter, 2023). Examine the patient’s support network, education level, and readiness for giving birth.

Name the different family developmental stages and give examples of each one.

The different family developmental stages and give examples of each one.

1. Coupling

A family is formed when two people move into a shared residence—which may or may not include marriage (Ho et al., 2022).

2. Becoming Three and Beyond

The first kid or dependent person’s arrival and subsequent integration signifies the start of the second phase of a family’s life cycle.

3. Entrance

The third phase begins when the first dependent child or member leaves the intrafamily setting and ventures outside.

4. Exits

At this point, the family’s last child or dependent joins the community. This period begins with a dependent family member’s first complete departure.

5. Becoming smaller/extended

The family becomes smaller or longer as the last child or dependant departs.

6. Final Years

The last years begin with the death of one spouse or partner and continue until the other spouse or partner also dies away.

Describe family structure and function and the relationship with health care.

The family structure comprises present-day members and notable figures from previous generations, along with the characteristics of their interactions. The family functions as the social structure in which disease occurs. The caliber of their interpersonal connections significantly impacts every family member’s physical health and overall welfare.

A family’s functioning substantially influences the health of its members and an individual’s response to illness (Ho et al., 2022). The patient’s family functions as a social network, fostering psychologically secure connections and contributing to developing their sense of self. Additionally, every family member serves a unique purpose. Each family is impressive in its operation and does not share a typical architectural style or design.

References

• Banala, C., Moreno, S. C., Cruz, Y., Boelig, R. C., Saccone, G., Berghella, V., Schoen, C. N., & Roman, A. (2020). Impact of the ACOG guideline regarding low-dose aspirin for prevention of superimposed preeclampsia in women with chronic hypertension. American Journal of Obstetrics and Gynecology, 223(3), 419.e1-419.e16. https //doi.org/10.1016/j.ajog.2020.03.004
• Ho, Y. L., Mahirah, D., Ho, C. Z., & Thumboo, J. (2022). The role of the family in health promotion a scoping review of models and mechanisms. Health Promotion International, 37(6). https //doi.org/10.1093/heapro/daac119
• Hoeger, K. M., Dokras, A., & Piltonen, T. (2020). Update on PCOS Consequences, Challenges, and Guiding Treatment. The Journal of Clinical Endocrinology & Metabolism, 106(3). https //doi.org/10.1210/clinem/dgaa839
• MacGregor, B., Munro, M. G., & Lumsden, M. A. (2023). Therapeutic options for the management of abnormal uterine bleeding. International Journal of Gynecology & Obstetrics, 162(S2), 43–57. https //doi.org/10.1002/ijgo.14947
• Potter, P. (2023). Fundamentals of nursing. Elsevier. https //www.clinicalkey.com/student/nursing/content/book/3-s2.0-B9780323810340000374#hl0002516
• Sussman, B. L., Chopra, P., Pōder, L., Bulas, D., Burger, I., Feldstein, V. A., Laifer‐Narin, S., Oliver, E. R., Strachowski, L. M., Wang, E. Y., Winter, T., Zelop, C. M., & Glanc, P. (2021). ACR Appropriateness Criteria® Second and third-trimester screening for fetal anomaly. Journal of the American College of Radiology, 18(5), S189–S198. https //doi.org/10.1016/j.jacr.2021.02.017