Susan Wilson 1 Hesi Case study OB with complete solution
1. You also review Susan's lab work recalling the pregnancy test on urine or blood are
determined to be positive based on the presence of a particular hormone. This biologic
marker of pregnancy is:
human chorionic gonadotropin
Human chorionic gonadotropin (HCG), produced by the trophoblast cells of the placenta
soon after implantation of a fertilized ovum, is a biologic marker of pregnancy. It can be
detected in maternal serum and urine as early as six days after conception, depending
on the test performed. It reaches its maximum level in 50-70 days. The presence of
HCG in Susan's blood is considered a probable sign of pregnancy. Positive pregnancy
tests can also occur if the client has certain tumors which produce HCG. Progesterone
is not a biological marker of pregnancy, but increases in progesterone levels are critical
for the maintenance of a pregnancy.
2. During Susan's pelvic examination a bluish discoloration of the cervix and vaginal
mucosa is observed. This is a sign of pregnancy and is documented as:
CHADWICKS SIGN (Evolve is not ****ing around. Enter exactly that or it's wrong)
3. Which of the following is considered a positive sign of pregnancy that could be
present present at this point in Susan's pregnancy at eight weeks gestation?
fetal cardiac activity or body movement noted on ultrasound
Ultrasonography is a noninvasive technique that can detect the presence of fetal
cardiac activity or body movement as early as 6-7 weeks gestation. Detection of fetal
cardiac activity or movement by ultrasound would be a positive sign of pregnancy. At
eight weeks gestation, fetal activity could be demonstrated on ultrasound
4. Which of the following suggestions are appropriately made to Susan to help alleviate
her symptoms?
A. Eat dry toast or crackers before getting out of bed,(Small, frequent meals are
recommended for the pregnant woman who is experiencing nausea and vomiting. An
empty stomach or one that is overloaded would increase the likelihood of nausea and
vomiting.)
B. Eat small frequent meals throughout the day (Eating a dry carbohydrate, such as
toast or crackers, before getting out of bed in the morning, often helps to prevent the
nausea associated with "morning sickness." If nausea is present before rising, it is
advisable to remain in bed after eating a dry carbohydrate until the feeling of nausea
subsides)
5. Susan asks you, "how much is too much vomiting?" You advise Susan to call the
clinic if she experiences which of the following?
A) she vomits in blood or her throat become sore from vomiting,
B). She urinates less frequently than usual and her urine becomes darker in color,
C). She vomits everything she eats or drinks in a 24 hour period
6. In formulating a plan of care based on Susan symptoms of nausea and vomiting
which of the following is determined to be inappropriate nursing diagnosis?
D. In balance nutrition: lesson body requirements related to nausea and vomiting
1. You also review Susan's lab work recalling the pregnancy test on urine or blood are
determined to be positive based on the presence of a particular hormone. This biologic
marker of pregnancy is:
human chorionic gonadotropin
Human chorionic gonadotropin (HCG), produced by the trophoblast cells of the placenta
soon after implantation of a fertilized ovum, is a biologic marker of pregnancy. It can be
detected in maternal serum and urine as early as six days after conception, depending
on the test performed. It reaches its maximum level in 50-70 days. The presence of
HCG in Susan's blood is considered a probable sign of pregnancy. Positive pregnancy
tests can also occur if the client has certain tumors which produce HCG. Progesterone
is not a biological marker of pregnancy, but increases in progesterone levels are critical
for the maintenance of a pregnancy.
2. During Susan's pelvic examination a bluish discoloration of the cervix and vaginal
mucosa is observed. This is a sign of pregnancy and is documented as:
CHADWICKS SIGN (Evolve is not ****ing around. Enter exactly that or it's wrong)
3. Which of the following is considered a positive sign of pregnancy that could be
present present at this point in Susan's pregnancy at eight weeks gestation?
fetal cardiac activity or body movement noted on ultrasound
Ultrasonography is a noninvasive technique that can detect the presence of fetal
cardiac activity or body movement as early as 6-7 weeks gestation. Detection of fetal
cardiac activity or movement by ultrasound would be a positive sign of pregnancy. At
eight weeks gestation, fetal activity could be demonstrated on ultrasound
4. Which of the following suggestions are appropriately made to Susan to help alleviate
her symptoms?
A. Eat dry toast or crackers before getting out of bed,(Small, frequent meals are
recommended for the pregnant woman who is experiencing nausea and vomiting. An
empty stomach or one that is overloaded would increase the likelihood of nausea and
vomiting.)
B. Eat small frequent meals throughout the day (Eating a dry carbohydrate, such as
toast or crackers, before getting out of bed in the morning, often helps to prevent the
nausea associated with "morning sickness." If nausea is present before rising, it is
advisable to remain in bed after eating a dry carbohydrate until the feeling of nausea
subsides)
5. Susan asks you, "how much is too much vomiting?" You advise Susan to call the
clinic if she experiences which of the following?
A) she vomits in blood or her throat become sore from vomiting,
B). She urinates less frequently than usual and her urine becomes darker in color,
C). She vomits everything she eats or drinks in a 24 hour period
6. In formulating a plan of care based on Susan symptoms of nausea and vomiting
which of the following is determined to be inappropriate nursing diagnosis?
D. In balance nutrition: lesson body requirements related to nausea and vomiting
