Patient VW, 35YO mother of 2 and currently on her third pregnancy of 30 weeks AOG has been wary of running short of breast milk supply as she experienced with her first two children. She then...



  1. Patient VW, 35YO mother of 2 and currently on her third pregnancy of 30 weeks AOG has been wary of running short of breast milk supply as she experienced with her first two children. She then proceeded to the maternity clinic to inquire if there's a way to start early lactation to ensure adequacy of milk upon childbirth. Which is the most appropriate response from the nurse?

  2. Patient XY, a 4Y0 toddler, was rushed to the ER due to sudden onset of shortness of breath. He was then found lying on the floor drooling with saliva, with circumoral discoloration, and upward rolling of eyes. He was last seen playing alone with LEGO and marbles. Chest x-ray revealed well-defined cuboidal opacity along the tracheobronchial tree. Which structures could have been signficantly obstructed?

  3. Patient YZ, a 45YO elderly primigravida (first pregnancy), underwent forceps delivery  secondary to lengthened second stage of labor. After a tedious labor and delivery, pelvic floor examination revealed tearing of muscles, vague/dull anorectal pain, and soreness pain on palpation of floor and vagina which later led to diminished intra-abdominal pressure to facilitate defecation and increased tendencies for pelvic organ prolapse. Which muscles is spared from tearing?



Jun 05, 2022
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