Melisa is a 45yo, G4 P3003, who was seen for an ultrasound assessment and evaluation. She does have AMA. She currently is 45 and will be 45 at the time of her EDD. She was seen in conjunction with our Genetic Counselor, Kristin Frazer and a separate cover letter will follow. She also has a history of chronic HTN and her BP was normal at 134/84 but she currently is not on an antihypertensive medication and this will be watched. She also is Rh-. The patient was actually unaware that she was pregnant and did not have good dates when she arrived but was thinking she was around 15-16 weeks along. She does have 3 previous term deliveries between 2000 and 2009 without any complications of infants that weighed between 6 ½-8 lb, all vaginally.
On today’s evaluation, the fetal measurements are symmetrical at 19 4/7 weeks giving her an EDD of 08/08/17. The amniotic fluid volume is normal, and the cervix is long and closed with no evidence of membrane funneling. A complete fetal
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Because she was unaware that she was pregnant and she realizes that she is 19 ½ weeks, she has had wine almost on a daily basis with meals with a couple episodes of 2-3 drinks. Fetal alcohol syndrome is difficult to determine regarding overall risks but this risk does exist. Many cases occur when women actually use alcohol throughout the entire pregnancy but there is suggestion that exposures in the first trimester are a potentially risk. Unfortunately, it is difficult to come up with a total overall risk. One concern would be microcephaly and on today’s assessment the fetal head measurements and brain morphology match her dates. the head and cerebellum measurements are at 19 ½ weeks size. The plan at this time is for her to follow-up in 3 weeks for a prenatal visit and at that time labwork will have returned. We did obtain her Prenate I labwork and she was told to contact us if she has any further questions or
Genetic Family History Assessment All nurses, no matter where they practice, need to have proper training in genomics and genetics to provide the best information to clients regarding recognition, prevention, and/or treatment of diseases (Thompson & Brooks, 2011). Genetic family history can help clients discover the unique patterns of health and illness within their family. In this paper, I will complete a Genetic/Genomic Nursing Assessment using the information found in Kaakinen, Coehlo, Steele, Tabacco, & Hanson’s text (2015) in Box 7-7 (p. 198). I will identify three generations of a family, analyze the genetic health risks, and consider nursing strategies for this family. The woman featured in my genetic assessment will be referred to as LG.
During pregnancy an echocardiogram of the fetus can be done to produce images of the heart by sending ultrasonic sound waves to the vital organ. These sound waves create an image for the physician to analyze the babies heart function, structure sizes, and blood flow. A positive diagnosis before birth has shown to improve chances of survival, and will allow for appropriate care to be readily available at birth. If a baby is born without being diagnosed with the heart defect, some symptoms previous noted such as low oxygen levels can be suggestive of hypoplastic left heart syndrome. The baby may not display any symptoms or signs for hours after birth because of the openings allowing for blood to be pumped to the rest of the body. However, listening to the babies heart can revel a murmur indicating an irregular flow of blood in the heart. If a murmur is heard, or signs of the defect are observed, diagnostic tests will be ordered and performed. An echocardiogram is still the go-to test once the baby is born to evaluate the heart. The echocardiogram will diagnose the newborn, by revealing the underdeveloped left ventricle, mitral and aortic valve, and the ascending aorta commonly seen in
Peterson-Iyer, Karen. "Confronting a Fetal Abnormality." http://www.scu.edu. Santa Clara University, Jan. 2008. Web. 13 Mar. 2014. .
The Centers for Disease Control and Prevention suggestion that a pregnant woman should not drink alcohol during pregnancy (Advisory on alcohol use in pregnancy 2005) has been widely criticized as being unnecessarily paternalistic, but the CDC goes further into explaining that, “Alcohol consumed during pregnancy increases the risk of alcohol related birth defects, including growth deficiencies, facial abnormalities, central nervous system impairment, behavioral disorders, and impaired intellectual development” (Advisory on alcohol use in pregnancy
The child that I tested will be referred to as K.L. I tested her on April 14th 2016. K.L. is 2 years old, with her exact age being 2 years 9 months and 14 days. I called and asked her mother if she would mind dropping K.L. off with me for a few hours so I could perform the test, and then pick her back up after the test was complete. This test more accurate when the caregiver is not present. K.L. has a step sister and a baby brother on the way. She has always been in the daycare setting, because her grandmother is a provider. K.L. was delivered full term via planned cesarean section due to her mother’s small pelvis. There was no complications during this pregnancy. K.L. weighted 8 lbs. 4 oz. and was 20 ½ inches long at birth, now weighting in at ...
Women who are pregnant, but drink moderate amounts of alcohol still pose many dangerous threats to their unborn child. A fetal alcohol effect is one of them, with slight deformities, mental retardation, and learning disabilities. Fetal alcohol effected children not only have physical differences from normal children, but also suffer with psychiatric problems and at more apt to get in trouble with the law. Pregnant women who drink not only run the risk of having a baby with fetal alcohol syndrome, but of having a child with alcohol-related neurodevelopmental disorder. Alcohol-related neurodevelopmental disorder occurs when children have prenatal exposure to alcohol. These babies have cognitive and behavioral problems that are alcohol-related, without the severe facial or growth deformities babies with fetal alcohol syndrome have. Pregnant women who drink expose their baby to teratogen ethanol- the active ingredient in alcohol. The fetus exposure is longer and more intense compared to the mother who is able to metabolize the teratogen ethanol.
I am a 24 year old, female that has a history of kidney stones and hyperthyroidism. I was diagnosed with hyperthyroidism that progressed into Grave’s disease in 2013. I am currently in remission and do not take any medication for it. I have never been pregnant. I was born in Romania. My younger sister, who is 17
My daughter’s name is Peyton Lynn Hetherington. Peyton had a normal birth. Labor was about ten hours long, and given naturally. A natural birth is a group of techniques aimed at reducing pain and medical intervention and making childbirth as rewarding as possible (Harris, Sara). I am proud that my "team" could make use of the natural childbirth breathing and relaxation techniques. My partner and myself were amazed at our angel Peyton. My partner and I are adapting well thus far with the new addition to our family. We are taking turns with Peyton and my partner has been very helpful.
17. American College of Medical Genetics Clinical Practice Committee. Statement on multiple marker screening in pregnant women. American College of Medical Genetics College Newsletter, January 1996;6.
A mother who drinks while she is pregnant stands a high risk of harming their unborn child because the alcohol passes through her blood to her baby, and that can harm the development of the baby’s cells. This is most likely to harm the baby’s brain and spinal cord. Many of the common effects of a child suffering from fetal alcohol spectrum disorder (FASD) is: distinctive facial features, growth problems making them smaller than the average child, and learning and behavior problems.
... excluded potential risk factors for preterm birth including previous pregnancies and multiple births. Thus, these results should only be applied to the risk of alcohol consumption for primiparous mothers with singleton pregnancies. However, despite the lack of risks identified in this study, alcohol use during pregnancy has been linked to disabilities. According to the American Academy of Child and Adolescent Psychiatry (AACAP, 2011), its adverse effects include fetal alcohol syndrome, learning disabilities, social ineptness, depression, and anxiety. The AACAP strongly recommends against pregnant women consuming any form of alcohol at any level. Despite the data presented by Dale et al. (2016), the question of the other risks of alcohol consumption on the fetus was not explored and thus alcohol use during pregnancy should not be condoned solely based on this study.
Merrick J, Merrick E, Morad M, Kandel I. (2006). Fetal alcohol syndrome and its long-term effects. National Institute of Child Health and Human Development, Faculty of Health Sciences Jun;58(3):211-8.
Obstetric Ultrasound -- a Comprehensive Guide to Ultrasound Scans in Pregnancy. Mar. 2006. Web. 13 Apr. 2011. .
In 2006, 49% of all pregnancies in the United States were reported unintended on a national survey.1 The highest rate of preventable birth defects and mental retardation is due to alcohol use.2 In this paper, I will further discuss FAS, the potential effects of binge drinking during the embryonic stage of gestation, and what actions need to be taken in order to reduce the incidences of alcohol-related birth defects. Alcohol Consumption During Pregnancy Alcohol is an ethanol containing substance that is a common beverage in many social and private settings. Alcohol is also a teratogen, therefore alcohol consumption and binge drinking potentially pose a substantial risk to the embryo or fetus. In 2013, the Centers for Disease Control conducted a telephone survey of women in the age range of 18-44 years regarding alcohol use.3
Although the FDA strongly recommends consume small doses or no doses of caffeine, research has shown that high amounts of caffeine consumption do not increase the risk of miscarriage, congenital malformations, or growth retardation (Brent, Christian, & Diener, 2011). However, heavy drinking can severely affect a woman’s offspring during pregnancy. Fetal alcohol syndrome (FAS) are a cluster of abnormalities and problems that appear in children of mothers who drank alcohol excessively while pregnant. Some abnormalities include facial deformities or defective limbs, face, and heart. Some children who are diagnosed with this disorder have learning disabilities and many score below average on intelligence tests, some including a intellectual disability. Furthermore, some children may have difficulty with their memory. Although women who drink heavily are more likely to produce offspring with FAS, not all heavy drinkers will have babies with this disorder. Drinking 1-2 glasses of beer or wine a week will not necessarily cause fetal alcohol syndrome, but it can still have a negative effect on the baby. Cigarette smoking can also have a detrimental effect on prenatal development, birth, and postnatal