Mary was excited to visit the obstetrician. At 38 weeks of gestation, Mary was tired of being pregnant! Mary’s doctor said that she would consider inducing labor if the fetus was ready.

The ultrasound technician took a measurement of the fetus’ femur in millimetres from the

computer screen. It was consistent with 39 weeks of gestation. She also measured the amount

of amniotic fluid in the spaces between the fetus’ body and the interior of the womb. The

combination of the femur length and the smaller-than-normal amount of amniotic fluid

influenced the doctor’s decision to approve an induction that afternoon. At birth, the baby

weighed 5 lbs 13 oz, and her development was consistent with 35–36 weeks gestation—

clearly, this fetus was not ready to be born.

How important are measurements to health professionals in their decision making? What

other factors might have the physician considered?

A24-year-old g4p2 woman at 34 weeks gestation complains of a cough and whitish sputum for the last three days. she reports that everyone in the family has been sick. she reports a high fever last night up to 102°f (38.9°c). she denies chest pain. she has a history of asthma with no previous intubations. she uses an albuterol inhaler, although she has not used it this week. vital signs are: temperature 98.6°f (37°c); respiratory rate 16/minute; pulse 94 beats/minute; blood pressure 114/78; peak expiratory flow rate 430 l/min (baseline documented in the outpatient chart = 425 l/min). on physical examination, pharyngeal mucosa is erythematous and injected. lungs are clear to auscultation. white blood cell count 8,700 mcl; arterial blood gases on room air (normal ranges in parentheses): ph 7.44 (7.36–7.44); po2 103 mm hg (> 100); pco2 26 mm hg (28–32); hco3 19 mm hg (22–26). chest x-ray is normal. what is the correct interpretation of this arterial blood gas?

Suppression’s, or win/win or win/lose scenario, can create alignment of a systems member

After sustaining a muscular injury it is important to remember r-i-c-e which stands for