Answer the following question:   1. Tawnlee Pawlinsky is a 37-year-old G40030, 30-week pregnant wom

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Answer the following question:

1. Tawnlee Pawlinsky is a 37-year-old G40030, 30-week pregnant woman who comes to your high-risk prenatal clinic for care. She has chronic hypertension and mitral valve insufficiency, which cause her to be short of breath if she hurries up a ladder at her job as a roofer or runs to catch a bus after work. When you talk about pregnancy nutrition with her, she makes a point that she is a vegan. Her hemoglobin is 9 g/ml; her red blood cells are microcytic and microchromic.

1.. Tawnlee is diagnosed as having iron-deficiency anemia. Because she is a vegan, in addition to taking the iron supplement prescribed for her, what foods would you suggest she include daily in meals? Would you suggest she change her eating philosophy for the remainder of pregnancy to include meat?

2.Suppose Tawnlee ran from the bus stop into the clinic to avoid being late for her appointment. As soon as she reached the reception desk, she fell to the floor. You realize she needs cardiopulmonary resuscitation (CPR). What rate of respiratory/cardiac ratio would you use because she is 30 weeks pregnant?

3.Tawnlee is concerned because she was prescribed enalapril for hypertension before pregnancy but was changed to methyldopa at her prepregnancy consultation. She doesn’t feel confident methyldopa will work as well, and she fears she will grow dizzy working on a roof and fall. Would you assure her the medication change was a good one, or urge her to ask her primary care provider to change the prescription back to enalapril so she feels more secure at work?

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