All Cases For
Maternity and Women's Health Care Maternity & Women's Health Care 13th Edition by Deitra
Leonard Lowdermilk
Cases 1-12
Case 1 The Menstrual Cycle
A nurse is providing health education to a group of college students who are members of a campus
sorority. As part of a class on reproductive health, the nurse would like to teach the young women about
the menstrual cycle.
Question 1
Complete the following sentences by choosing the missing information from the list of options
provided.
The first day of menstruation is designated as day_____1_____of the menstrual cycle and the average
duration of menstrual flow is___2____ days. The average length of the menstrual cycle is ___3____ days
with ovulation occurring on about day ____4_____. The ____5___ part of the menstrual cycle is when a
woman is most likely to be fertile and may become pregnant. Important hormones involved in the
menstrual cycle include ____6_____ and ___7_____.
Options for 1 Options for 2 Options for 3
28 5 14
1 14 7
14 7 28
Options 4 Options for 5 Options for 6 Options for 7
28 beginning progesterone serotonin
7 middle insulin estrogen
14 end cortisol prolactin
,Use an X for the nursing actions listed below that are Indicated (appropriate or necessary),
Contraindicated (could be harmful), or Non-Essential (makes no difference or not necessary) for the
conversation between the client and the nurse through the interpreter.
Nursing Action Indicated Contraindicated Non-Essential
Assume that the
client’s daughter
will serve as the
interpreter for the
nurse since she is
bilingual
Ask the client
about her
preferences
regarding her
daughter
remaining in the
room during the
conversation
Engage in eye
contact and
address the client
while speaking
through the
interpreter
Ask the client
about her
immigration status
Ask the client’s
daughter if she has
any children of her
own
Encourage the
interpreter to take
the lead on client
teaching because
they often work on
the unit and are
familiar with client
care
, Spanish with the
client as she
prepares for
discharge
Case 3 Intrapartum Complications
A 28-year-old G3P2002 is in labor at 39 weeks of gestation. The client has been in the second stage of
labor for 3 hours. Upon reviewing the client’s health record, the nurse notes the following findings:
1. Small amounts of bloody show during vaginal exam
2. History of gestational diabetes
3. History of genital herpes
4. Estimated fetal weight of 4000g (8.8lbs)
5. Lactose intolerance
6. Initiated prenatal care at 14 weeks
7. History of preterm birth
8. History of shoulder dystocia
Question 1
Highlight or place a check mark next to the findings that are potential risk factors for shoulder
dystocia.
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