3. A pregnant woman has come to you for advice. By mistake she took thalidomide prescribed...

3. A pregnant woman has come to you for advice. By mistake she took thalidomide prescribed for her husband. She is certain that she took the drug during the third week of pregnancy, she is now near the end of the second trimester. She has come to you to determine whether her child will be born with malformed limbs.

a. Explain what test or tests you would suggest that could answer her question.

b. Explain why you choose that test.

c. What results would you expect from your test if the fetus was affected.

PLEASE BE SPECIFIC

Expert Solution

a) Fetal ultrasonografy is the most important tool to provide prenatal diagnosis of fetal anomalies.

b) I would suggest to my patient she must go for ultrasonography because for diagnosis of limb abnormalities, ultrasound machine quality and good operator skills can easy identify the minor defect in foetus. Ultrasonography is good test for detection malformation of limbs which was happened due to thalidomide consumtion during pregnancy.

c)

Limb formation occurs at 4-8 weeks gestation, while primary ossification centers develop in all the long bones of the limbs by the 12th week of gestation.

The molecular regulation of limb formation is under the control of different gene families like HOX gene , BMPs, FGF and SHh. If thalidomide is taken during pregnancy it can affect the regulation of these limbs development genes.

Since thalidomide drug can be absorbed through the skin and lungs and may harm an unborn baby, women who are pregnant or who may become pregnant should not handle this medication or breathe the dust from broken capsules.

gladiator answered 2 years ago

A pregnant woman has come to you for counseling. She is in her late forties and this...

A pregnant woman has come to you for counseling. She is in her late forties and this is her first pregnancy. She has had a difficult pregnancy and is very worried about having a miscarriage. She has come to you to determine whether her child will be born with Down Syndrome. a. Explain what test or tests you would suggest that could answer her question, b. Explain to her why you would recommend this test. c. What results would you expect...

Thalidomide is a tranquilizer that was prescribed in the late 1950’s and early 1960’s to pregnant...

Thalidomide is a tranquilizer that was prescribed in the late 1950’s and early 1960’s to pregnant women, with the devastating result of over 12,000 birth defects in 48 countries before it was banned in 1962. (It was never sold in the United States.) Since then, the drug has reappeared as a possible solution to a number of medical problems. The U.S. National Institutes of Health announced on 31 October 1995 the results of a study in 30 hospitals of the...

A woman is pregnant. She finds out that the baby she is carrying has spina bifida....

A woman is pregnant. She finds out that the baby she is carrying has spina bifida. She can’t decide whether to terminate the pregnancy or not. Assume that she can legally do so if that is her choice. Resolve the issue using the 7 step decision model. 1. Define the precise ethical issue 2. Identify the major principles, rules, and values 3.Specify the Determine the facts 4. alternatives 5. Compare values and alternatives 6. Assess the consequences 7. Make a...

1. A woman is pregnant for the second time. She has Rh negative blood type but...

1. A woman is pregnant for the second time. She has Rh negative blood type but did not receive the RhoGAM shot with her first pregnancy. The baby is born with the following symptoms: enlarged liver and spleen and difficulty breathing. What type of hypersensitivity reaction is this? What is the name of the disease the newborn is experiencing? Can you determine the Rh blood type of the first baby? the second baby? If so,identify the Rh type? 2. A...

Jean is a 34 year-old woman who is pregnant for the first time. She has a...

Jean is a 34 year-old woman who is pregnant for the first time. She has a sister who had spina bifida and an older brother who had a stroke when he was 14. Jean has tested positive for presence of a genetic defect known as 677C>T in the methylene-tetrahydrofolate reductase (MTHFR). She is worried about using the traditional prenatal vitamin-mineral supplement because she has been cautioned that she is unable to metabolize folic acid from diet and supplements. She is...

4. Assume that a wealthy woman comes to you looking for some investment advice. She is...

4. Assume that a wealthy woman comes to you looking for some investment advice. She is in her early forties and has $250,000 to put into stocks. She wants to build up as much capital as she can over a 15-year period and is willing to tolerate a “fair amount” of risk. What types of stocks do you think would be most suitable for this investor? Come up with at least three types of stocks, and briefly explain the rationale...

A woman is pregnant with her second child. She is Rh+ and the father is Rh-....

A woman is pregnant with her second child. She is Rh+ and the father is Rh-. With respect to the Rh factor, what is the risk, if any, to this present fetus and/or the mother?

Talia is a 35 year old prenatal woman who is 30 weeks pregnant. She has recently...

Talia is a 35 year old prenatal woman who is 30 weeks pregnant. She has recently been put on hospital bed rest due to vaginal bleeding. Talia follows Kosher dietary restrictions and she will be receiving Kosher meals while she is at the hospital. However, she was admitted 30 min ago, right after lunch was served and she is starving. All she had eaten today was 1 piece of whole wheat toast with jelly, at 7am. Her husband runs to...

Dee is 36 weeks pregnant with her first child. She has come to the L&D unit...

Dee is 36 weeks pregnant with her first child. She has come to the L&D unit to be assessed. She complains of bilateral lower pelvic pressure and occasional tightening and relaxing of her abdomen. Her EFM strip reveals a baseline fetal HR of 130 with moderate variability, accelerations 15 beats by 15 beats, and no decelerations. There is only one contraction observed on the monitor in 30 minutes, which was palpated as mild by the RN. The patient denies leaking...

An 18 year old woman has come to the clinic for confirmation of pregnancy. She states...

An 18 year old woman has come to the clinic for confirmation of pregnancy. She states that she has missed three periods, and a home pregnancy test 2 days ago was positive. The client states she does not like going to the doctor and the only reason she is at the clinic is because her boyfriend wants to make sure that she is really pregnant. What approach should the nurse take in regard to assessment, care, and intervention for this...

Question