Do you need this or any other assignment done for you from scratch?
We have qualified writers to help you.
We assure you a quality paper that is 100% free from plagiarism and AI.
You can choose either format of your choice ( Apa, Mla, Havard, Chicago, or any other)
NB: We do not resell your papers. Upon ordering, we do an original paper exclusively for you.
NB: All your data is kept safe from the public.
Please respond to discussion below using current APA edition and 2 scholarly ref
Please respond to discussion below using current APA edition and 2 scholarly references. Must be 150 words.
To which group of pregnant women do the American College of Obstetricians and Gynecologist (ACOG) recommend in its guideline’s aspirin 81 mg daily? Explain.
The ACOG recommends that pregnant women who have previously experience preeclampsia and preterm deliver to take a low-dose aspirin late in the first trimester. Those women who are at high risk for preeclampsia should be started between 12 and 28 weeks gestation. These risk factors include women who are pregnant with multiples, those with autoimmune disorders, those whose BMI is greater than 30, those with diabetes, those who are of advanced maternal age, and those with a family history of preeclampsia (Committee on Obstetric Practice, 2018).
Case #3:
Following ACOG what would be the appropriate management for this patient?
A primigravida patient who is has a blood type of B- who is having vaginal bleeding, the ACOG recommends that the woman receive a Rh D immunoglobulin injection. This is due to potential exposure to the blood of a Rh-positive fetus. This medication helps to prevent maternal alloimmunization. Sine the fetal-placental blood volume is smaller in the first trimester, a smaller dose can be given for events that happen in the first trimester (Costumbrado et al., 2022).
Case #5:
List your diagnosis and support.
Mastitis of the breast: Major supporting evidence is left breast is warm and painful with examination. She also reports low grade fever and malaise which suggests infection. There are nipple fissures present suggesting either a poor latch or possibly a fungal infection (Boakes et al., 2018)
If infection is suspected which bacteria are usually involve in this process.
The most common bacteria involved in this process is S. aureus, this is closely followed by coagulase-negative Staphylococci. Some of these infections can be polymicrobial with Staphylococcus, Streptococcus, Enterobacteriaceae, Corunbacterium, E. coli, and Pseudomonas as possible microbes. More atypically, Bartonella henselae and Candida are possible pathogens that may be involved (Boakes et al., 2018). However, it is important to note that an infant who has thrush and it breastfeeding could potentially spread it to its mother.
Discuss a management plan for C.C (pharmacologic and non-pharmacologic treatment).
For C.C., the care plan will include and antibiotic such as Clindamycin 300mg four times daily. She will also need an antifungal such as nystatin to treat thrush if present. She will be encouraged to continue breastfeeding as multiple studies conclude that it is safe for the infant. Furthermore, it prevents milk statis which can worsen mastitis or cause an abscess in the breast (Boakes et al., 2018). If the baby’s latch is poor, consultation with a lactation consultant would be beneficial. The patient should be encouraged to wear a supportive bra. Tylenol and Ibuprofen can be safely used during breastfeeding for pain relief. She can use ice packs on the tender area of the breast to reduce inflammation. She will be instructed on lymphatic drainage methods to reduce the pain and swelling in the breast (Boakes et al., 2018). Follow-up should be performed in two weeks to assess breast.
List patient’s education and recommendations.
Lymphatic drainage technique.
Do not apply heat or strong massage to the breast.
When applying ice or cold pack to the breast, do not place the ice directly on the skin.
Take antibiotic medication as directed.
Ibuprofen and Tylenol may be alternated every 4 hours to provide pain relief.
Aburptly stopping breast feeding can worsen mastitis. It is important to remove the milk from the breast.
Follow-up with a lactation consultant to assess latch and other issues that may be occurring during breast feeding.
If breast develops a well-defined area that is hot to the touch and painful or if symptoms do not improve or worsen over the course of the antibiotic, it is important for the patient to go to the Emergency Room for prompt treatment.
Do you need this or any other assignment done for you from scratch?
We have qualified writers to help you.
We assure you a quality paper that is 100% free from plagiarism and AI.
You can choose either format of your choice ( Apa, Mla, Havard, Chicago, or any other)
NB: We do not resell your papers. Upon ordering, we do an original paper exclusively for you.
NB: All your data is kept safe from the public.
Place this order or similar order and get an amazing discount. USE Discount code “GET20” for 20% discount