There are two parts to this assignment. In the first part you will create a presentation or chart showing the stages of fetal development. Then, for the second part, you will answer questions about genetic testing and the ethical decisions involved.

Part 1: Create a presentation or chart explaining the stages of fetal development. Each developmental period should be identified and briefly explain the development taking place.

Part 2: Use the document “Genetic Testing” to access short answer questions regarding genetic testing and the ethical decisions involved in genetic testing.

Use two to four scholarly resources to support your chart and short answer claims. Include an APA reference page for both parts of the assignment. Refer to the document “Submitting Multiple Attachments” to assist in submitting multiple documents in the dropbox.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a scoring guide. Please review the scoring guide prior to beginning the assignment to become familiar with the expectations for successful completion.

Maria is a 29-year-old woman with a seven-month history of heavy, irregular menses, a 5-lb weight gain, constipation, and decreased energy. Her past history is unremarkable. She takes no prescription medications but uses iron and calcium supplements. She has a family history of thyroid disease. On examination, her weight is 152 lbs, her heart rate is 64 bpm, and her blood pressure is 138/86. Her thyroid gland is mildly enlarged, without nodularity. She has trace edema in her lower extremities, and her reflexes are slow. 

Laboratory studies are as follows: 

TSH is 15.3 mIU/mL (elevated), free T4 is 0.3 mIU/mL (decreased), and total cholesterol is 276 mg/mL.

Diagnosis: Primary Hypothyroidism

1. List specific goals of treatment for Maria.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What over-the-counter and/or alternative medications would be appropriate for Maria?

8. What lifestyle changes would you recommend to Maria?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

Use 3 evidence based articles and write inn APA format.

 opic 4 DQ 2

The levels of evidence are an important part of all evidence-based practice. Understanding the levels and why they are necessary to the research is a great way for the reader to become involved. There are different levels of evidence that begin at a level one being the most factual, and level four being either old information that is not relevant anymore, or it is not factual anymore through new evidence. It is important that the researcher read all levels because it provides a huge story line of where and how we got to the practices we perform today. A type of practice that could change the results from each level would be a new set of information that debunked the old information. Such as the urinary catheter research. It has just come out in recent years that the urinary catheter needs to be removed immediately to decrease the chances of infection. EBP relies very heavily on levels of evidence to maintain the best practices in nursing (Burns 2018).

Using 200-300 words APA format with at least two references to support this discussion

Describe the “levels of evidence” and provide an example of the type of practice change that could result from each.

Parent–child relationships may include communication that “shoots the other person down,” which often adds fuel to negative situations. Assess the effect of harsh communication patterns between parents and children, and generate alternative patterns of communication. 

 Discuss whether you have ever used or heard these kinds of statements. 

I don’t understand why you do these things. 

How could someone with your brains and your background do such a thing? 

I’m stumped; you really have confused me. 

I do not understand how one little _____ is going to hurt you. 

You never tell me what you’re thinking. 

I demand an apology. 

Discuss the manifest and latent meanings of these statements. 

I don’t understand why you do these things. 

How could someone with your brains and your background do such a thing? 

I’m stumped; you really have confused me. 

I do not understand how one little _____ is going to hurt you. 

You never tell me what you’re thinking. 

I demand an apology. 

For each statement, generate a healthier alternative statement. 

I don’t understand why you do these things. 

How could someone with your brains and your background do such a thing? 

I’m stumped; you really have confused me. 

I do not understand how one little _____ is going to hurt you. 

You never tell me what you’re thinking. 

I demand an apology.