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Margaret is a 40-year-old white female in for her annual examination.

 

This case proves that Margaret is a 40-year-old white female in for her annual examination. She states she has been under increased stress in her life for the past few months.

Margaret is a 40-year-old white female in for her annual examination.

Margaret is a 40-year-old white female in for her annual examination.However,  she states she has been under increased stress in her life for the past few months. She and her husband are currently in separation and considers 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.”

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.However, she denies a personal history of abnormal Pap smears, gynecological issues, hypertension (HTN), or diabetes. She is G2P2002, and her pregnancies were \/5full 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:

Guidelines: Support your responses with scholarly academic references using APA style format. As course reading and online library resources are the preference.However,  weekly lecture notes are  overviews to the topic for the respective week. They should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; demonstrates a clear connection to the readings

In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, ad Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

Discussion 1:

Margaret is a 40-year-old white female in for her annual examination. She states she has under increased stress in her life.In addition, she and her husband are currently in separation. Her teenaged sons are acting out and she is working extra hours to make ends meet. Secondary to the increased stress she has moreover started smoking again, “about a pack per day.’

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. Likewise, her menstrual period should start tomorrow as she just finished her active\/5.However,  she denies a personal history of abnormal Pap smears, gynecological issues, hypertension (HTN), or diabetes.Moreover,  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.Sadly,  her paternal grandfather died at age 64 years from type 2 diabetes, HTN, and coronary artery disease.Lastly,  her other grandparents died in their late 70s early 80s and she is unaware of any medical issues.

Assessment:

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