Academic Integrity: tutoring, explanations, and feedback — we don’t complete graded work or submit on a student’s behalf.

Vanessa is a 32-year-old female who has been trying to conceive for 3 months. Sh

ID: 3504893 • Letter: V

Question

Vanessa is a 32-year-old female who has been trying to conceive for 3 months. She tested positive with an at-home pregnancy test after missing her menstrual cycle last month. She has come into the clinic where you work to confirm her pregnancy and begin her prenatal care. She has many questions about the upcoming months. Imagine you are her nurse and help answer her questions.

QUESTION 16

“I read online that I should make sure my prenatal vitamins contain folic acid. Why is folic acid so important?”

Folic acid supports nervous system development and can help prevent brain and spinal cord defects.

Folic acid support gastrointestinal development and prevents intestinal disorders.

Folic acid, along with B vitamins, are instrumental in the development of muscle.

Folic acid is responsible for development of the heart early in pregnancy.

QUESTION 17

“My last period began 8 weeks ago. How big is my baby right now?”

Assuming you are 8 weeks along, your baby is a little over 1 inch in length and bone and muscles are growing. The fingers and toes are still webbed.

If your LMP was 8 weeks ago, your gestational age is only 4 weeks, meaning your embryo is still forming its 3 germ layers.

Assuming you are 8 weeks along, your baby is over 3 inches long and can now create its own urine.

Assuming you are 8 weeks along, your baby is over 3.5 inches long and can respond to your voice.

QUESTION 18

“When will I feel the baby move?”

Most women feel the first fetal movements in the first trimester.

Fetal movements can be felt by the mother as early as 8 weeks.

Fetal movements can be felt by the mother as early as 13-16 weeks.

Most women do not feel fetal movements until the third trimester.

QUESTION 19

“My mother and sisters have all had preeclampsia with their pregnancies. What is preeclampsia and does my family history mean I will have it, too?”

QUESTION 20

Vanessa wants to know about treatments for preeclampsia. There are many options to treat preeclampsia, depending on how far along the pregnancy is at the time of diagnosis. Which of the following is NOT a treatment option if she is diagnosed with preeclampsia at 20 weeks?

Antihypertensive medication

Corticosteroid medication

Bed rest and/or hospitalization

Immediate induction and premature delivery

Folic acid supports nervous system development and can help prevent brain and spinal cord defects.

Folic acid support gastrointestinal development and prevents intestinal disorders.

Folic acid, along with B vitamins, are instrumental in the development of muscle.

Folic acid is responsible for development of the heart early in pregnancy.

Explanation / Answer

16.) a - folic acid tablets support nervous system development & can help prevent brain & spinal cord defects.

17.)a - assuming you had regular cycles & you are 8 weeks along, baby is around 1 inch in length. Bones & muscles are growing & fingers & toes are still webbed.

18.)c- fetal movements can be felt by mother as early as 13- 16weeks.

19.) Some families have strong family history of preeclampsia & due to faulty genes the pregnant women may or may not develope preeclampsia.

The inheritance pattern is not clearly known.

Though you have the risk factors, if proper measures are taken & timely examinations are done, you will not suffer from preeclampsia.

20.)d - immediate induction & premature delivery.