Jessica is a 22yo, G3 P1011, who was seen for an ultrasound evaluation to evaluate the fetal anatomy and growth. On an ultrasound performed in your office there was a question of a small fetal stomach. In addition, she reportedly has a history of chronic HTN but is currently not on medication. Her BP today was normal at 116/70. In addition, based on her height and weight at the start of the pregnancy, her BMI was 32. She has one previous delivery that occurred in August 2016 at 39 5/7 weeks of an infant that weighed 7 lb 4 oz. On today’s assessment, overall, she has no complaints and has positive fetal movement.
By dates, she is 22 weeks and the fetal measurements are concordant. In looking at the individual parameters, the head measurement,
Stethoscope functionality generally has not changed over the past few decades evolving from the monaural hollowed out wooden tube first invented in the early 1800’s by Rene Laennec to the more familiar long multi tubular version, improved upon by George Cammann 50 years later, we so typically see today. The core components of a modern stethoscope are comprised of ear tips, binaural piece, tubing and a diaphragm with a bell on the back. The bell transmits low frequency waves all the way up to the ear pieces, while the diaphragm is designed to carry the higher frequency sound. The two fathers of the stethoscope left little room for improvement on the near perfect design for just over a century until a Harvard Medical School professor by the name of David Littmann turned the simple listening device into the versatile diagnostic tool resting around almost every health care professional’s neck today.
I have always been fascinated with the medical field ever since I was little, my first choice for electives were always health science and anatomy classes. After my cousin, Deanna, had her first child and receive her first ultrasound, I knew that was what I wanted to do for the rest of my life. The ultrasound technician had made her feel so comforted and just made the entire experience enjoyable for everyone; I’m eager to be able to start my life with a job that I know I will love. Anytime that I meet someone who is in the field themselves, I always ask questions and listen to what they do throughout the day to get some real insight on what being a technician really entails.
In this case, B is a 12-year- old girl who is 18 months pregnant. She is a patient at a
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
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 ...
The nuchal translucency measured 1.5 mm. The nasal bone was suboptimal due to fetal positioning. I first counseled Bethanie on FTS. After appropriate counseling based on her age bas4ed risks she declined any further screening due to a reassuring
Step 1: patient education. The information that is given to the patients should be accurate, thorough, and easy to understand. We need to discuss the options with Gwen and Nicole. Apparently, they have the choice of termination or continuation of the pregnancy. If they choose to continue the pregnancy, they have the option of keeping the baby or putting it up for adoption once it’s born. In order to make an informed decision of whether to keep the baby or not, the couple need to have a comprehensive understanding of the medical conditions that the baby may have if it’s born, the responsibilities that they will face to take care of the baby, and the possible impacts of those responsibilities on their relationship and family life. The doctors and nurses have the responsibilities to deliver the information, help the couple to understand the situation, and answer any questions that they have. As nurses, we need to be unbiased and non-judgmental. Support the couples’ decision anyway we can. Ideally, information should be delivered
After the report, I started working on my own charting on maternal assessment. For the mother’s basic information such as Rubella immunity, I only completed partially. I wrote about hemorrhoid for my care plan, in which I wrote “a small hemorrhoid” as my dia...
She requested a series of tests, including an MRI of her spine and brain to determine if she has a hidden health
Additionally, Janel and John were informed by DHS Nurse, Barbara Black, to follow up with baby Maria's Pulmonary doctor if there were any questions regarding Maria's apnea. In the event that the baby does not respond to the oxygen, John and Janel were instructed to call 911 immediately.
This last week I got to spend time in the Radiology Observation Care Unit and learn about experiences that happen within that department. I have had such an adventurous experience in this care unit. There are many different people come in this department such as doctors, registered nurses, radiologic technicians, and of course that patients. It was amazing to see what each individual person in the department had to deal with and the obstacles they had to overcome for the day. In the Radiology Observation Care Unit the clinical staff would take care of patients for a few hours before and after procedures. Before a patient would come in they would get a bed ready with sheets and a pillow to make the patient comfortable. When the patient arrives
I interviewed a woman who has a child with special needs. The child is now in kindergarten. The mother reported having a normal pregnancy with no complications. This was the second child for the mother, who has another child who was five years old at the time. The mother disclosed that during the pregnancy, she was in the process of separating from the child’s father and that this caused a moderate level of stress. At the time of the pregnancy, the mother was also working full time as a waitress in a local restaurant. The mother reported that her job required her to be on her feet for long periods of time. She was able to work until around a week before her child was born. The mother reports that the child was born around two weeks early but that labor was easy and the child was born healthy.
During the first year of the infant’s life the most noticeable thing is physical growth. The infants weight is doubled in six months and tripled in a year. During the time of growth not only does the weight and height increase but as well the head and the chest that causes development of the heart, brain, lung and several organs used for survival. The bones of the infant start to harden as well as the skull. By the end of the second year of the infant’s life his/her brain has developed 75% of its adult weight. The growth and size of the baby also depend on its nutritional diet during the mothers pregnancy and during his/hers life, if during the mothers pregnancy she didn’t have a nutritional diet the baby might later have difficulties in his/hers growth and even its ability to understand and process things, if the infant is overfed during the first year or two years this might cause obesity in later years, now if the baby receives a good and nutritional balance of food this should increase growth and size of the infant.
During the sixth week of pregnancy the crown-to-rump ( referring to the length of the baby from the top of the head to its bottom, this term is used because it 's hard to measure from head to toe because the babies are usually curled up with their legs tucked under.) length of the baby is about 2-4mm long. At this point in the pregnancy some of the facial features are now visible even the mouth and tongue. Also the outline of the jaw is starting to
If a pregnant female came into the ER and had a CBC ran showing a low platelets count,