Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Discussion 1: Margaret is a 40-year-old white female in for her annual asses. Sh

by | Oct 9, 2021 | Nursing homework help

GET HELP WITH YOUR ESSAY

If you need assistance with writing your essay, our professional Essay Writing Service is here to help!

DISCOUNT CODE FIRST25

ORDER THIS OR A SIMILAR PAPER NOW

Discussion 1:
Margaret is a 40-year-old white female in for her annual asses. She states she has been under increased stress in her life for the past few months. She and her husband are currently separated and considering divorce. Her teenaged sons are acting out and she is working extra hours to make ends meet. Secondary to the increased stress she has started smoking again, “about a pack per day” and states “I know that I am not eating right.”
Margaret has been on the “pill” for almost 20 years and has always liked the method. She states the she has heard that smoking and taking the pill are not good, and she is worried about that. “I really do not need birth control since I am separated but just in case I probably need something.” She states that she has been in a mutually monogamous relationship (as far as she knows) since her marriage 18 years ago. She denies a new partner since her separation. Menarche was at 11 years, her cycles when on the pill are regular and very light. Her menstrual period should start tomorrow as she just finished her active pills. She denies a personal history of abnormal Pap smears, gynecological issues, hypertension (HTN), or diabetes. She is G2P2002, and her pregnancies were full term and uncomplicated at ages 24 and 26. Family history is significant for both parents with HTN and mom has type 2 diabetes. Her paternal grandfather died at age 64 years from type 2 diabetes, HTN, and coronary artery disease. Her other grandparents died in their late 70s early 80s and she is unaware of any medical issues.
Assessment:
Margaret’s assessment finds her height 5’5″, weight 172 lb (up 10 lb. from last year), current body mass index (BMI 28.6), and blood pressure (BP) 148/88. Head, eyes, ears, nose, and throat (HEENT) are grossly within normal limits (WNL). No thyromegaly or lymphadenopathy. Heart rate is regular and rhythm is without murmurs, thrills, or rubs. Lungs are clear to auscultation in all lobes. Breasts are without masses, nipple discharge, asymmetry, or lymphadenopathy; self breast examnation techniques and frequency reviewed during examnation. Abdomen is soft, nontender, with no masses or hepatosplenomegaly; bowel sounds present in all four quadrants. Pelvic assessment reveals normal vulva and negative Bartholin’s and Skene’s glands; vagina is pink, rugated, with minimal white nonodorous discharge; cervix is pink, multiparous os. Pap smear collected during speculum examination was normal. Bimanual examination reveals a retoverted, firm, mobile, nonenlarged, nontender uterus with negative cervical motion tenderness; adnexa nontender; and ovaries palpable bilaterally, mobile, without masses. Lower extremities were without edema or varicosities.
1. What options are appropriate for this patient?
2. What contraceptive options are contraindicated?
3. What type of patient education is indicated?
4. Given that she has a normal pelvic exa, does that change would that influence your decision?
please use apa style reference and don’t use references older than five years ol. 

DISCOUNT CODE FIRST25

ORDER THIS OR A SIMILAR PAPER NOW

Categories

SERVICES

What We Do

b

Essay Writing Services

h

Term Paper Writing Services

Assignment Writing Service

U

Research Paper Writing

Case Study Writing Services

k

Thesis Writing Services

TESTIMONIALS

What People Are Saying

I had casually placed an order on Lesson-edu.info for a short essay and wanted to see if their claim of timely delivery of tasks was true or not. The assignment was not delivered on time, but the quality of the essay was also remarkable.

Adeline West

“Being associated with experts minds for 1 year, i am extremely happy and fully satisfied with your high class assistance and quality writing services! Cheers!”

Rachel

“Thanks guys! You have great writer who helped me in my last assignment! I got excellent grade in my last assignment and i will recommend you!”

Theresa Reeves

“It was awesome experience to work with professional writers of experts ! This really helps to score high in university homework!”

Ada Leonard

Easy As 1…2…3…

1. Place Order/Submit Instructions
Submit the instructions in the order form. Add the number of the pages, the deadline, and attach any additional files.

2.Make Payments
Securely complete the payment process.

3. Writer Upload Solution for Quality Check

We will assign your work a writer, sit back and relax. The Quality Control department will check and verify completion to set standards.

4. Download Paper and Enjoy
Now download the uploaded solution and enjoy your life.

Confidentiality

We encrypt everything. It’s all confidential.

Secure Payment

Sleep tight: each transaction is encrypted and 100% secure.

Ready to get started?

%d bloggers like this: