I need help and explanation with the uploaded or following case styudy. Case Studies High-Risk Pregnancy D.P., a 42-year-old patient in otherwise good health, went to her obstet
I need help and explanation with the uploaded or following case styudy.
Case Studies
High-Risk Pregnancy
D.P., a 42-year-old patient in otherwise good health, went to her obstetrician 4 weeks after missing her menstrual period. Her physical examination results were essentially normal. Positive findings on the pelvic examination included mild uterine enlargement associated with softening and cyanosis of the cervix. She had a history of prior spontaneous abortions. There is a history of hemophilia in her family.
Studies Results Normal Range
Routine laboratory studies
Blood and urine tests within normal limits (WNL) except for the following:
Fasting blood glucose
6.4 mmol/L
3.9-6.1 mmol/L
2-hour postprandial glucose
8.2 mmol/L
2:1
>20%
The fetoplacental unit was threatened, and the fetus was not doing well. Amniocentesis indicated fetal maturity compatible with life outside the womb. A cesarean section was performed, and a healthy 5-pound, 8-ounce boy was delivered. Although initially having low APGAR scores, the baby improved rapidly. D.P. and her healthy son were discharged 4 days after delivery.
Critical Thinking Questions
1. What is TORCH testing, and why is it done during pregnancy?
2. Why were the results of the 24-hour urine tests decreasing for estriol and pregnanediol?
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