Reference no: EM133554370

Case Scenario: It's been a couple of months since Karen visited the School Nurse's office. She looks tired and has shadows under her eyes. Her baby bump is beginning to "show." Karen offers a brief smile and asks to come into the office. You offer a big welcoming smile and invite her into the examination room and have her sit down. You begin the interview by asking how she is feeling. Karen takes her time in answering, breathing in and letting out her breath in a rush, which prompts a fit of coughing. Once this subsides, she meekly asks for a glass of water. Taking a couple of sips, she explains that water eases the dry tickly feeling in her throat and stops it from turning into an asthma attack. Frowning, you ask, "How long have you been diagnosed with asthma, Karen?" Karen shrugs. "Since I can remember my mom has fussed at me to avoid getting colds and making sure I don't overexert myself. I haven't had a bad one in years now." She grimaces. "I used to end up in the hospital at least once a year when I was in elementary school because I kept getting pneumonia from asthma." Karen begins to look panic-stricken. "I just can't afford to get sick now from asthma again, but staying with Susie made it get bad again. You see, her dad smoked cigars in the house almost every evening. Then the flowers are all blooming, and the pollen makes my head ache from clogged sinuses." She sounds ready to cry. "And, of course, I can't take anything because of the baby. My inhaler expired last year, and I never got around to reminding my mom to replace it, and now I can't afford to replace it myself, and my parents won't give me any money." You hand her a tissue and ask, "Are you still staying with Susie?" Karen blows her nose. "No, once her parents saw my baby bump, they asked me to find somewhere else to live. I keep looking on the Internet when I'm at school for a room to rent, but I don't have enough saved up yet for a deposit. So, I'm staying at this weekly motel that isn't too far from where I work." She begins to cough again and takes another sip of water. "It's only temporary though. Ryan says he will give me some extra money soon so we can get a place together." Your frown deepens as you press the stethoscope to her chest. You determine Karen's breathing rate is normal. The swelling of her belly is impeding her lung expansion a little, but the breath sounds are a little diminished and a soft expiratory wheeze is heard. "Karen, how often are these coughing outbursts happening?"

Question: List 4 items you would expect to observe that Karen has prepared for the baby's arrival in a few months. put these 4 items in a numbered list