java barcode library open source C Medications in Objective-C

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C Medications
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Do not take medications unless prescribed or authorized by your provider
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Urinalysis, culture of a clean-voided midstream urine sample, complete blood count with red cell indices, serologic test for syphilis, rubella antibody titer, history of varicella infection, blood group, Rh type, atypical antibody screening, and hepatitis B surface antigen (HBsAg) evaluation HIV screening should be offered to all pregnant women Cervical cultures are usually obtained for Neisseria gonorrhoeae and chlamydia, along with a Papanicolaou smear of the cervix All black women should have sickle cell screening Women of African, Asian, or Mediterranean ancestry with anemia or low mean corpuscular volume (MCV) values should have hemoglobin electrophoresis performed to identify abnormal hemoglobins (Hb S, C, F, -thalassemia, -thalassemia) Tuberculosis skin testing is indicated for high-risk immigrant and local populations Genetic counseling with the
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D Alcohol and Other Drugs
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Abstain from alcohol, tobacco, and all recreational ( street ) drugs No safe level of alcohol intake has been established for pregnancy Fetal effects are manifest in the fetal alcohol syndrome, which includes growth restriction, facial abnormalities, and serious central nervous system dysfunction These effects are thought to result from direct toxicity of ethanol itself as well as of its metabolites such as acetaldehyde Characteristic findings include shortened palpebral fissures, low-set ears, midfacial hypoplasia, a smooth philtrum, a thin upper lip, microcephaly, mental retardation, and attention deficit disorder Skeletal and cardiac abnormalities may also be seen
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Cigarette smoking results in fetal exposure to carbon monoxide and nicotine, and this is thought to eventuate in a number of adverse pregnancy outcomes An increased risk of abruptio placentae, placenta previa, and premature rupture of the membranes is documented among women who smoke Premature delivery occurs 20% more frequently among smoking pregnant women, and the birth weights of their infants are on average 200 g lower than infants of nonsmokers Women who smoke should quit smoking or at least reduce the number of cigarettes smoked per day to as few as possible Pregnant women should also avoid exposure to environmental smoke ( passive smoking ) Sometimes compounding the above effects on pregnancy outcome are the independent adverse effects of illicit drugs Cocaine use in pregnancy is associated with an increased risk of premature rupture of membranes, preterm delivery, placental abruption, intrauterine growth restriction, neurobehavioral deficits, and sudden infant death syndrome Similar adverse pregnancy effects are associated with amphetamine use, perhaps reflecting the vasoconstrictive potential of both amphetamines and cocaine Adverse effects associated with opioid use include intrauterine growth restriction, prematurity, and fetal death
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nuchal translucency measurement on sonography, free hCG, and PAPP-A at 11 13 weeks
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C 12 18 Weeks
Genetic counseling should be offered for women age 35 years or older at delivery and for those with a family history of congenital anomalies or a previous child with a chromosomal abnormality, metabolic disease, or neural tube defect Amniocentesis is performed as indicated and requested by the patient
D 12 24 Weeks
Fetal ultrasound examination to determine pregnancy dating and evaluate fetal anatomy is done An earlier examination provides the most accurate dating, and a later examination demonstrates fetal anatomy in greater detail The best compromise is at 18 20 weeks of gestation
E 16 20 Weeks
Maternal serum alpha-fetoprotein testing is offered to all women to screen for neural tube defects In some states, such testing is mandatory Serum alpha-fetoprotein is sometimes combined with measurement of estriol and hCG (triple screen) or inhibin A (quad screen) for the detection of fetal Down syndrome The results of these analyses may be combined with first trimester values as part of integrated aneuploidy screening
E X-Rays and Noxious Exposures
Avoid x-rays unless essential and approved by a physician and with shielding Inform your dentist and your providers that you are pregnant Avoid chemical or radiation hazards Avoid excessive heat in hot tubs or saunas Avoid handling cat feces or cat litter Wear gloves when gardening
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