Usha, 38 years old, is 12 weeks

Usha, 38 years old, is 12 weeks pregnant (confirmed through a dating Ultra Sound at 10 weeks) and arrives to her doctor’s appointment nervous about the whitish-colored vaginal discharge she has experienced x 3 days. Usha was diagnosed with primary infertility and this conception was achieved through in-vitro fertilization. Q1. What is the cause of primary infertility? (Name one female cause and one male cause) QN2 . What is the cause of the vaginal discharge and what is the medical term for the discharge? QN3. Usha reports that she has morning sickness ‘all day’ and worries that vomiting will harm the baby. What is ‘thought’ to be the cause of the vomiting in early pregnancy? QN4. What is hyperemesis gravidarum and how is it treated? QN5. Usha asks the nurse which perinatal tests are completed at 12 weeks gestation and how each test is completed (i.e. blood test, swabbing, radiology). As well, Usha asks why she needs another ultra sound. List the tests Usha will receive and indicate how they are completed. Also, describe why Usha needs another Ultra Sound QN6 . Use an X to indicate whether the nursing actions listed below are Indicated (appropriate or necessary), Not Indicated (unnecessary), 6 marks Nursing Action Indicated Not Indicated Administer antiemetic as prescribed Prepare for Chorionic Villus sampling Educate Usha on the resources and supports in the community for families of infants with trisomy 18 Swab the cervix and rectum for GBS as part of the 12 week appointment Administer sedatives as prescribed for Usha’s anxiety Educate Usha on miscarriage and spontaneous abortion

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