a. Using Leininger’s Sunrise Model, discuss the complexities of the cultural traditions and the woman’s situation b. How can the nurse offer support to the woman?
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A study sought to determine whether the ancient Chinese art of acupuncture could help infertile women become pregnant.' One hundred sixty healthy women undergoing assisted reproductive therapy were recruited for the study. Half of the subjects were randomly assigned to receive acupuncture treatment 25 minutes before embryo transfer and again 25 minutes after the transfer. The remaining 80 subjects were instructed to lie still for 25 minutes after the embryo transfer. Results: In the acupuncture group, 34 women became pregnant. In the control group, 21 women became pregnant. (a) Why did researchers randomly assign the subjects to the two treatments? (b) The difference in the percent of women who became pregnant in the two groups is statistically significant. Explain what this means to someone who knows little statistics. (c) Explain why the design of the study prevents us from concluding that acupuncture caused the difference in pregnancy rates.
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A 35-year-old woman at 12 weeks' gestation comes to the physician for a routine prenatal visit. Her husband, his brother, and her 6-year-old son have Marfan syndrome. DNA sequencing of FBN1 in her son showed an intronic mutation affecting splicing on one allele. Physical examination shows a uterus consistent in size with a 12-week gestation. Ultrasonography shows a male fetus. The patient asks the physician if her fetus will have a condition similar to that of her husband, her son, and her husband's brother. If the fetus is affected, which of the following is the most likely finding in cells obtained at amniocentesis? A) Abnormal karyotype B) Abnormal sequence of one exon C) Fibrillin mRNA of two different lengths D) Large deletion of 5’ promoter region E) Polymorphisms on the adjacent region of 15q
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