A20-year-old female presents with pelvic and back pain severe enough to miss work. she reports that the pain occurs with the onset of menses. physical examination fails to find pelvic pathology. the most likely cause of her condition is:
a. lack of estrogenb. stressc. elevated prostaglandinsd. poor nutrition

C. Elevated prostaglandins

Explanation:

Higher levels of prostaglandins can cause more severe menstrual cramps, and severe contractions may constrict the blood vessels around the uterus

abuse and or domestic violence!

: )

a mother eats twice as much to support her growing fetus

limiting sugar intake in a mother with gestational diabetes, switching from diving to swimming.   depending on whether the patient is normal weight, over weight or gain will differ depending on that.