Sophie, who is 23 years old, is the first person in her fami
Sophie, who is 23 years old, is the first person in her family to… Sophie, who is 23 years old, is the first person in her family to go to college and graduate. That’s a big deal for her. It took her longer than she thought it would to get a job after she graduated, however, and she’s not getting paid as much as she’d hoped, but she likes the small nonprofit organization she works for part time. She doesn’t have any healthcare benefits through her employer and isn’t eligible for Medicaid in the state where she resides. She’s young and healthy and not that worried about getting sick or needing healthcare right now.She’s never been pregnant but also hasn’t been very careful about using birth control. Because she’s never been pregnant despite inconsistent use of birth control, she figures that she’s likely not that fertile and doesn’t worry about getting pregnant too much. After all, she has an older sister who has been trying to get pregnant for 2 years with no luck, so maybe it just runs in the family.She was in a relationship with a guy for about 3 months, but they ended it 2 weeks ago, with no hard feelings. It was a pretty casual arrangement, and she thinks he was probably still seeing other people, anyway. They never talked whether the relationship was exclusive. He said he was clean and didn’t have any sexually transmitted infections, and they usually used condoms, anyway.Sophie once read that the average span for most women between the first day of one period (referred to clinically as last menstrual period, or LMP) and the next is 28 to 35 days. That’s never been her experience. It’s not unusual for Sophie to go up to a few months between periods, although as she’s grown older her period has become more regular.Sophie thinks her diet is pretty normal. She lives with a few roommates, but they rarely eat together because their schedules are so different. She eats most of her meals alone, and she knows she doesn’t get as many fruits and vegetables as she should. She keeps gummy multivitamins at her desk. Sometimes she eats more than one serving, because they’re completely delicious.Sophie doesn’t see any healthcare providers regularly and has no chronic conditions that she knows of (Box 4.1), but she did see a nurse practitioner at a women’s health clinic a few years back for her first Pap test at 21 years old. When her results came back, she was told there were no abnormalities and she wouldn’t need another one for 3 years. She also tested negative for gonorrhea and chlamydia at that time. She had a finger-stick test for HIV at that visit, as well, and the results were negative. Nobody said anything about her blood pressure (BP), which she assumes was normal. She is 5 ft 4 in tall and weighs about 135 lb. She has a body mass index of 23, which is considered healthy and normal. Think Critically 1.What are four of the uses for ultrasound in early pregnancy?2.Which common discomforts of pregnancy did Sophie experience each trimester?3.What are Sophie’s risk factors for preeclampsia?4.Why does Sophie need to collect her urine for 24 hours?5.What common findings during the third trimester of pregnancy might be confused with preeclampsia?6.What dietary changes is Sophie encouraged to make because of her pregnancy and because of her preeclampsia, and why?7.What constitutes a reactive nonstress test?8.Why is magnesium sulfate used for patients with preeclampsia? What are some of the warning signs of magnesium toxicity?9.If bed rest has not been found to improve outcomes but has numerous adverse effects, is it an acceptable recommendation? If not, what is the role of the nurse in this situation?10.What is the goal range for oxytocin that would let a nurse know she does not need to further titrate the dose at this time? How is oxytocin titrated?Health Science Science Nursing NURSING NURS3339
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