The nurse is caring for an obese 15-year-old girl who missed two periods and is afraid she is pregnant but the nurse reassures her by identifying PCOS with the help of clinical features such as obesity, acanthosis nigricans, and hirsutism.
Diagnosis of Polycystic Ovary syndrome
Polycystic ovarian syndrome, which affects roughly 7% of female patients, is the most frequent endocrinopathy among reproductive-aged women.
- Although the aetiology of the syndrome is complicated, and no one flaw is known to cause it, insulin resistance is thought to be a crucial role.
- Metabolic syndrome is twice as frequent in patients with polycystic ovarian syndrome as it is in the general population.
- People with polycystic ovary syndrome are four times more likely to develop type 2 diabetes mellitus than the general population.
- The Endocrine Society recommends utilizing the Rotterdam criteria for diagnosis, which include the presence of two of the three following findings: hyperandrogenism, ovulatory failure, polycystic ovaries, as well as the exclusion of alternative illnesses.
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Answer:
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Repositioning the client to the other side
Explanation:
Variable decelerations are caused by umbilical cord compression. These can occur with or without a contraction. Positioning the client on her side would provide optimal oxygenation to the fetus.
A fetal deceleration: what is it?
Fetal decelerations are short-lived, observable drops in the fetal heart rate (FHR) that are discovered through electronic fetal heart monitoring. The heartbeat of the fetus and the mother's uterus contractions are both recorded via electronic fetal monitoring before and during labor. The FHR baseline typically falls between 120 and 160 beats per minute (bpm); however, during fetal decelerations, the heart rate often falls by about 40 bpm.
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